Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $2,370.04 / $4,117.78	Facility		$1,170.39	$2,370.04	$4,117.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.39 / $1,170.39 / $1,457.14	Professional		$1,170.39	$1,170.39	$1,457.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,753.94 / $4,063.50 / $16,695.00	Facility		$1,753.94	$4,063.50	$16,695.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Facility		$1,243.54	$1,243.54	$1,243.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $1,332.50 / $1,640.00	Professional		$200.00	$1,332.50	$1,640.00
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 $1,062.08 / $1,062.08 / $1,091.55	Professional		$1,062.08	$1,062.08	$1,091.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,317.74	Professional		$1,219.16	$1,219.16	$1,317.74