Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.85 / $3,920.98 / $4,594.22	Facility		$1,708.85	$3,920.98	$4,594.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,614.19 / $2,069.44 / $3,920.98	Professional		$1,614.19	$2,069.44	$3,920.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $18,320.24 / $39,958.76	Facility		$8,139.91	$18,320.24	$39,958.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,754.76 / $1,958.98	Facility		$875.00	$1,754.76	$1,958.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,939.77 / $2,837.86 / $4,513.42	Professional		$1,939.77	$2,837.86	$4,513.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,261.52 / $3,291.80 / $9,102.87	Professional		$2,261.52	$3,291.80	$9,102.87
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 $2,104.05 / $2,215.58 / $2,898.74	Professional		$2,104.05	$2,215.58	$2,898.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,306.57	Professional		$32.34	$32.34	$3,306.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,079.73 / $2,795.58 / $4,929.46	Professional		$2,079.73	$2,795.58	$4,929.46