Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.20 / $1,052.20 / $1,052.20	Facility		$1,052.20	$1,052.20	$1,052.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $780.34 / $1,052.20 / $1,591.65	Professional		$780.34	$1,052.20	$1,591.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,540.82 / $4,298.62 / $18,291.62	Facility		$2,540.82	$4,298.62	$18,291.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $2,281.44	Facility		$1,375.24	$1,375.24	$2,281.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $2,464.50	Professional		$1,003.93	$1,375.24	$2,464.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.40 / $2,138.40 / $2,710.21	Professional		$1,747.40	$2,138.40	$2,710.21
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 $2,763.67 / $2,763.67 / $2,763.67	Professional		$2,763.67	$2,763.67	$2,763.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,200.12 / $1,714.46 / $1,800.18	Professional		$1,200.12	$1,714.46	$1,800.18
United Facility/Professional Professional Modifier Low / Median / High Price $758.91 / $1,060.58 / $1,820.67	Professional		$758.91	$1,060.58	$1,820.67