Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,801.89	Facility		$1,288.25	$2,089.30	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,412.54	Professional		$831.76	$1,047.13	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $2,041.74	Facility		$1,513.56	$1,698.24	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,344.23 / $6,456.54	Facility		$831.76	$2,344.23	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,862.09	Professional		$1,479.11	$1,548.82	$1,862.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,698.24 / $2,344.23	Professional		$346.74	$1,698.24	$2,344.23
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 $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
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 $1,258.93 / $1,258.93 / $2,511.89	Facility		$1,258.93	$1,258.93	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,258.93	Professional		$537.03	$758.58	$1,258.93