Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,137.96 / $2,884.03	Professional		$1,862.09	$2,137.96	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $2,398.83 / $3,981.07	Professional		$288.40	$2,398.83	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $457.09	Professional		$100.00	$199.53	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $457.09 / $2,187.76	Facility		$158.49	$457.09	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,511.89	Professional		$1,096.48	$1,659.59	$2,511.89