Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $12,022.64	Facility		$1,862.09	$2,041.74	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,344.23	Professional		$1,862.09	$1,862.09	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,137.96 / $13,489.63	Facility		$588.84	$2,137.96	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $38.90 / $2,884.03	Professional		$14.79	$38.90	$2,884.03
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 $17.38 / $17.78 / $19.05	Professional		$17.38	$17.78	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,174.90 / $1,174.90	Facility		$436.52	$1,174.90	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,238.72	Professional		$1,862.09	$2,187.76	$2,238.72