Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,530.44 / $2,932.90	Facility		$1,214.63	$1,530.44	$2,932.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,214.63 / $1,560.00	Professional		$960.00	$1,214.63	$1,560.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.40 / $2,148.42 / $12,058.35	Facility		$1,190.40	$2,148.42	$12,058.35
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 $1,214.63 / $1,238.93 / $1,238.93	Professional		$1,214.63	$1,238.93	$1,238.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,492.70 / $2,164.80	Professional		$345.40	$1,492.70	$2,164.80
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 $890.29 / $1,240.92 / $1,275.36	Professional		$890.29	$1,240.92	$1,275.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,372.53	Professional		$1,214.63	$1,214.63	$1,372.53