Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.17 / $3,391.17 / $4,959.52	Facility		$1,558.17	$3,391.17	$4,959.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.15 / $1,558.17 / $1,634.17	Professional		$1,425.15	$1,558.17	$1,634.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,223.23 / $2,660.28 / $3,363.35	Facility		$2,223.23	$2,660.28	$3,363.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,489.89 / $4,545.28 / $8,748.29	Facility		$2,489.89	$4,545.28	$8,748.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,280.23 / $2,314.54 / $2,773.08	Professional		$2,280.23	$2,314.54	$2,773.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,710.18 / $2,565.27 / $3,990.42	Professional		$1,710.18	$2,565.27	$3,990.42
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 $2,470.26 / $2,470.26 / $2,470.26	Professional		$2,470.26	$2,470.26	$2,470.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,584.27	Professional		$30.00	$30.00	$2,584.27
United Facility/Professional Professional Modifier Low / Median / High Price $798.08 / $1,140.11 / $1,900.20	Professional		$798.08	$1,140.11	$1,900.20