Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $4,570.88	Facility		$1,584.89	$2,630.27	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,698.24	Professional		$1,023.29	$1,258.93	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $2,511.89	Facility		$1,862.09	$2,089.30	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,079.46	Facility		$1,000.00	$2,884.03	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $2,238.72	Professional		$1,778.28	$1,862.09	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $2,089.30 / $2,818.38	Professional		$346.74	$2,089.30	$2,818.38
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,090.30	Facility		$1,548.82	$1,548.82	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,548.82	Professional		$645.65	$912.01	$1,548.82