Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $2,159.60	Facility		$1,645.41	$1,645.41	$2,159.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $1,748.25	Professional		$1,645.41	$1,645.41	$1,748.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.23 / $12,052.79 / $25,683.25	Facility		$1,425.23	$12,052.79	$25,683.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,056.76 / $2,056.76 / $2,056.76	Professional		$2,056.76	$2,056.76	$2,056.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Facility		$1,748.25	$1,748.25	$1,748.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $2,229.33 / $2,690.79	Professional		$345.40	$2,229.33	$2,690.79
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 $1,713.97 / $1,713.97 / $1,879.09	Professional		$1,713.97	$1,713.97	$1,879.09