Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $2,164.46 / $3,487.19	Facility		$1,336.09	$2,164.46	$3,487.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.07 / $1,095.58 / $1,202.48	Professional		$1,002.07	$1,095.58	$1,202.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,563.22 / $1,870.52 / $2,364.87	Facility		$1,563.22	$1,870.52	$2,364.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $2,030.86	Professional		$1,336.09	$1,336.09	$2,030.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.52 / $3,195.93 / $6,151.35	Facility		$1,500.52	$3,195.93	$6,151.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.31 / $1,627.23 / $1,949.60	Professional		$1,603.31	$1,627.23	$1,949.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,870.53 / $2,805.79	Professional		$1,336.09	$1,870.53	$2,805.79
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 $1,736.92 / $1,736.92 / $1,736.92	Professional		$1,736.92	$1,736.92	$1,736.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,817.08 / $1,817.08 / $2,004.14	Professional		$1,817.08	$1,817.08	$2,004.14
United Facility/Professional Facility Modifier Low / Median / High Price $561.16 / $2,672.18 / $2,672.18	Facility		$561.16	$2,672.18	$2,672.18
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $801.65 / $1,336.09	Professional		$561.16	$801.65	$1,336.09