Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,652.28	Facility		$2,020.78	$2,020.78	$2,652.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,399.67	Professional		$2,020.78	$2,020.78	$2,399.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,058.51 / $15,366.37 / $31,925.57	Facility		$1,058.51	$15,366.37	$31,925.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,195.30 / $2,221.92 / $3,332.88	Professional		$1,195.30	$2,221.92	$3,332.88
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 $2,888.50 / $2,888.50 / $2,888.50	Professional		$2,888.50	$2,888.50	$2,888.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,307.77	Professional		$2,104.98	$2,104.98	$2,307.77