Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.60 / $1,732.06 / $3,268.62	Facility		$987.60	$1,732.06	$3,268.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.79 / $1,214.63 / $2,211.48	Professional		$1,156.79	$1,214.63	$2,211.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,709.64 / $5,222.56 / $19,078.56	Facility		$2,709.64	$5,222.56	$19,078.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $1,581.60 / $2,290.80	Professional		$200.00	$1,581.60	$2,290.80
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 $954.41 / $1,240.92 / $1,275.36	Professional		$954.41	$1,240.92	$1,275.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,288.72	Professional		$1,214.63	$1,214.63	$1,288.72