Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,680.00 / $14,083.43	Facility		$1,200.00	$1,680.00	$14,083.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,275.00	Professional		$1,200.00	$1,200.00	$1,275.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.00 / $1,008.00 / $1,008.00	Professional		$1,008.00	$1,008.00	$1,008.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,667.06 / $2,105.36	Professional		$345.40	$1,667.06	$2,105.36
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $1,250.00 / $1,250.00 / $1,350.00	Professional		$1,250.00	$1,250.00	$1,350.00