Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.49 / $1,239.49 / $1,239.49	Facility		$1,239.49	$1,239.49	$1,239.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.26 / $1,253.82 / $1,792.15	Professional		$932.26	$1,253.82	$1,792.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,992.38 / $5,062.58 / $21,547.59	Facility		$2,992.38	$5,062.58	$21,547.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $2,600.30	Facility		$1,620.00	$1,620.00	$2,600.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $2,903.25	Professional		$1,182.59	$1,620.00	$2,903.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,128.65 / $2,739.50 / $3,471.89	Professional		$2,128.65	$2,739.50	$3,471.89
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 $3,255.58 / $3,255.58 / $3,255.58	Professional		$3,255.58	$3,255.58	$3,255.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,413.74 / $2,019.64 / $2,120.62	Professional		$1,413.74	$2,019.64	$2,120.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,504.29 / $3,340.15 / $6,207.12	Facility		$2,504.29	$3,340.15	$6,207.12
United Facility/Professional Professional Modifier Low / Median / High Price $941.31 / $1,249.36 / $2,226.77	Professional		$941.31	$1,249.36	$2,226.77