Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.49 / $2,038.16 / $2,980.78	Facility		$936.49	$2,038.16	$2,980.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.55 / $936.49 / $982.17	Professional		$856.55	$936.49	$982.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.21 / $1,598.88 / $2,021.44	Facility		$1,336.21	$1,598.88	$2,021.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,496.59 / $2,731.81 / $5,257.91	Facility		$1,496.59	$2,731.81	$5,257.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.47 / $1,391.26 / $1,666.89	Professional		$1,370.47	$1,391.26	$1,666.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.84 / $1,541.78 / $2,398.33	Professional		$1,027.84	$1,541.78	$2,398.33
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 $1,484.68 / $1,484.68 / $1,484.68	Professional		$1,484.68	$1,484.68	$1,484.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,678.83	Professional		$30.00	$30.00	$1,678.83
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $685.24 / $1,176.32	Professional		$479.67	$685.24	$1,176.32