Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.77 / $2,682.25 / $3,291.31	Facility		$1,169.77	$2,682.25	$3,291.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.00 / $1,506.80 / $2,728.71	Professional		$1,104.00	$1,506.80	$2,728.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,462.43 / $12,540.94 / $27,353.39	Facility		$4,462.43	$12,540.94	$27,353.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,446.35 / $1,614.68	Facility		$875.00	$1,446.35	$1,614.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.43 / $1,953.64 / $3,205.74	Professional		$1,323.43	$1,953.64	$3,205.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.68 / $2,346.50 / $6,465.94	Professional		$1,575.68	$2,346.50	$6,465.94
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 $1,447.52 / $1,519.79 / $2,122.06	Professional		$1,447.52	$1,519.79	$2,122.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,399.55	Professional		$32.34	$32.34	$2,399.55
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 $1,526.91 / $2,071.67 / $3,610.51	Professional		$1,526.91	$2,071.67	$3,610.51