Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,144.59	Facility		$1,040.00	$1,040.00	$1,144.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,105.00	Professional		$1,040.00	$1,040.00	$1,105.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $947.12 / $1,133.31 / $1,432.83	Facility		$947.12	$1,133.31	$1,432.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $1,902.52	Professional		$100.00	$200.00	$1,902.52
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,395.55	Professional		$1,235.00	$1,235.00	$1,395.55