Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.40 / $2,876.81 / $3,412.62	Facility		$1,260.40	$2,876.81	$3,412.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.59 / $1,539.13 / $2,876.81	Professional		$1,190.59	$1,539.13	$2,876.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,692.05 / $13,512.51 / $29,472.51	Facility		$7,692.05	$13,512.51	$29,472.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,310.40 / $1,462.90	Facility		$875.00	$1,310.40	$1,462.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.53 / $2,094.12 / $3,292.57	Professional		$1,435.53	$2,094.12	$3,292.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,672.43 / $2,440.46 / $6,810.04	Professional		$1,672.43	$2,440.46	$6,810.04
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 $1,551.78 / $1,634.66 / $2,151.12	Professional		$1,551.78	$1,634.66	$2,151.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,453.96	Professional		$32.34	$32.34	$2,453.96
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 $1,582.10 / $2,227.51 / $3,935.72	Professional		$1,582.10	$2,227.51	$3,935.72