Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,326.62 / $39,280.00 / $41,094.68	Facility		$5,326.62	$39,280.00	$41,094.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.66 / $975.66 / $2,096.30	Professional		$975.66	$975.66	$2,096.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,943.08 / $8,195.87 / $17,859.95	Facility		$2,943.08	$8,195.87	$17,859.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.78 / $3,012.66 / $11,270.36	Facility		$1,937.78	$3,012.66	$11,270.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.49 / $1,952.49 / $2,598.94	Professional		$1,952.49	$1,952.49	$2,598.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.57 / $1,864.75 / $14,017.92	Professional		$1,139.57	$1,864.75	$14,017.92
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 $1,346.76 / $1,409.07 / $1,541.02	Professional		$1,346.76	$1,409.07	$1,541.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,086.52 / $1,601.18 / $2,648.75	Professional		$1,086.52	$1,601.18	$2,648.75