Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.84 / $3,325.16 / $4,863.00	Facility		$1,527.84	$3,325.16	$4,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.42 / $1,527.84 / $1,602.37	Professional		$1,397.42	$1,527.84	$1,602.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,179.96 / $2,608.50 / $3,297.89	Facility		$2,179.96	$2,608.50	$3,297.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,441.40 / $4,456.81 / $8,577.04	Facility		$2,441.40	$4,456.81	$8,577.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,235.86 / $2,269.44 / $2,719.06	Professional		$2,235.86	$2,269.44	$2,719.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $2,515.35 / $3,912.76	Professional		$1,676.90	$2,515.35	$3,912.76
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 $2,422.19 / $2,422.19 / $2,422.19	Professional		$2,422.19	$2,422.19	$2,422.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,533.98 / $2,794.83	Professional		$30.00	$2,533.98	$2,794.83
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $1,117.93 / $1,863.22	Professional		$782.55	$1,117.93	$1,863.22