Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.53 / $2,046.92 / $3,297.81	Facility		$1,263.53	$2,046.92	$3,297.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.65 / $1,036.08 / $1,200.34	Professional		$947.65	$1,036.08	$1,200.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,478.33 / $1,768.94 / $2,236.44	Facility		$1,478.33	$1,768.94	$2,236.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,419.24 / $3,022.35 / $5,816.31	Facility		$1,419.24	$3,022.35	$5,816.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.24 / $1,538.80 / $1,843.65	Professional		$1,516.24	$1,538.80	$1,843.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,768.94 / $2,653.41	Professional		$1,263.53	$1,768.94	$2,653.41
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 $1,642.59 / $1,642.59 / $1,642.59	Professional		$1,642.59	$1,642.59	$1,642.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,718.40 / $1,718.40 / $1,895.30	Professional		$1,718.40	$1,718.40	$1,895.30
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $758.12 / $1,263.53	Professional		$530.67	$758.12	$1,263.53