Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $6,606.93	Facility		$2,290.87	$3,801.89	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,570.40	Professional		$1,445.44	$1,819.70	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $3,630.78	Facility		$2,691.53	$3,019.95	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,168.69 / $11,220.18	Facility		$1,445.44	$4,168.69	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $3,388.44	Professional		$2,570.40	$2,691.53	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $2,884.03 / $3,981.07	Professional		$346.74	$2,884.03	$3,981.07
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 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $4,466.84	Facility		$1,659.59	$2,238.72	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,238.72	Professional		$933.25	$1,318.26	$2,238.72