Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,253.31 / $4,276.68 / $6,038.88	Facility		$2,253.31	$4,276.68	$6,038.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.42 / $1,758.68 / $4,022.98	Professional		$1,445.42	$1,758.68	$4,022.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,572.06 / $3,077.69 / $3,891.07	Facility		$2,572.06	$3,077.69	$3,891.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,789.32 / $5,258.46 / $10,119.73	Facility		$2,789.32	$5,258.46	$10,119.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,638.02 / $2,677.46 / $3,207.90	Professional		$2,638.02	$2,677.46	$3,207.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,198.35 / $3,077.69 / $4,616.54	Professional		$2,198.35	$3,077.69	$4,616.54
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 $2,857.86 / $2,857.86 / $2,857.86	Professional		$2,857.86	$2,857.86	$2,857.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,231.57	Professional		$30.00	$30.00	$3,231.57
United Facility/Professional Professional Modifier Low / Median / High Price $923.31 / $1,319.01 / $2,198.35	Professional		$923.31	$1,319.01	$2,198.35