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 / $2,570.40	Facility		$1,230.27	$1,230.27	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,454.71	Professional		$912.01	$1,258.93	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,897.79 / $17,378.01	Facility		$3,019.95	$4,897.79	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,630.27	Facility		$1,621.81	$1,621.81	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,630.27	Professional		$1,174.90	$1,174.90	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $3,467.37	Professional		$2,137.96	$2,754.23	$3,467.37
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 $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,041.74	Professional		$1,412.54	$1,412.54	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,388.44	Facility		$1,380.38	$1,995.26	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,862.09	Professional		$933.25	$1,258.93	$1,862.09