Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.45 / $2,990.14 / $4,222.21	Facility		$1,575.45	$2,990.14	$4,222.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.59 / $1,229.61 / $2,812.75	Professional		$1,010.59	$1,229.61	$2,812.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,798.31 / $2,151.82 / $2,720.52	Facility		$1,798.31	$2,151.82	$2,720.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.11 / $3,676.54 / $7,076.07	Facility		$1,950.11	$3,676.54	$7,076.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.42 / $1,872.39 / $2,243.33	Professional		$1,844.42	$1,872.39	$2,243.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $2,151.83 / $3,227.74	Professional		$1,537.02	$2,151.83	$3,227.74
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 $1,998.13 / $1,998.13 / $1,998.13	Professional		$1,998.13	$1,998.13	$1,998.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,259.42	Professional		$30.00	$30.00	$2,259.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $1,537.02	Facility		$1,537.02	$1,537.02	$1,537.02
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $922.21 / $1,615.41	Professional		$645.54	$922.21	$1,615.41