Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,398.83	Facility		$1,148.15	$1,148.15	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,344.23	Professional		$870.96	$1,230.27	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $16,218.10	Facility		$2,818.38	$4,570.88	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,754.23	Facility		$1,258.93	$1,258.93	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $2,691.53	Professional		$933.25	$933.25	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,090.30	Professional		$1,995.26	$2,454.71	$3,090.30
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 $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,778.28	Professional		$1,230.27	$1,230.27	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,311.31	Facility		$1,348.96	$1,862.09	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,819.70	Professional		$891.25	$1,174.90	$1,819.70