Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,454.71	Facility		$1,230.27	$1,230.27	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,089.30	Professional		$1,000.00	$1,230.27	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,677.35 / $16,595.87	Facility		$2,884.03	$4,677.35	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Facility		$1,548.82	$1,548.82	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,398.83	Professional		$1,122.02	$1,122.02	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,019.95	Professional		$1,862.09	$2,398.83	$3,019.95
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 $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,905.46	Professional		$1,348.96	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,905.46 / $3,311.31	Facility		$851.14	$1,905.46	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,737.80	Professional		$831.76	$1,202.26	$1,737.80