Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.08 / $1,302.08 / $1,302.08	Facility		$1,302.08	$1,302.08	$1,302.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.96 / $1,302.08 / $2,026.68	Professional		$1,086.96	$1,302.08	$2,026.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.36 / $5,121.76 / $21,797.54	Facility		$3,027.36	$5,121.76	$21,797.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $2,727.04	Facility		$1,638.80	$1,638.80	$2,727.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $2,966.37	Professional		$1,196.32	$1,196.32	$2,966.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,153.35 / $3,430.84 / $4,480.20	Professional		$2,153.35	$3,430.84	$4,480.20
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,293.36 / $3,293.36 / $3,293.36	Professional		$3,293.36	$3,293.36	$3,293.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,336.59 / $1,909.42 / $2,004.89	Professional		$1,336.59	$1,909.42	$2,004.89
United Facility/Professional Facility Modifier Low / Median / High Price $916.71 / $1,203.23 / $1,376.73	Facility		$916.71	$1,203.23	$1,376.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.72 / $1,263.85 / $2,237.96	Professional		$1,011.72	$1,263.85	$2,237.96