Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,168.69 / $6,606.93	Facility		$2,238.72	$4,168.69	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,454.71	Professional		$1,445.44	$1,819.70	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,548.13	Facility		$2,630.27	$2,951.21	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,073.80 / $10,232.93	Facility		$1,445.44	$4,073.80	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $3,235.94	Professional		$2,570.40	$2,691.53	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $2,951.21 / $4,073.80	Professional		$346.74	$2,951.21	$4,073.80
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 $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
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 $2,187.76 / $2,187.76 / $4,365.16	Facility		$2,187.76	$2,187.76	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,187.76	Professional		$933.25	$1,318.26	$2,187.76