Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.81 / $1,155.81 / $1,155.81	Facility		$1,155.81	$1,155.81	$1,155.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.51 / $1,155.81 / $1,907.25	Professional		$961.51	$1,155.81	$1,907.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,790.45 / $4,720.95 / $20,092.89	Facility		$2,790.45	$4,720.95	$20,092.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $2,688.02	Facility		$1,271.83	$1,271.83	$2,688.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,271.83 / $2,707.13	Professional		$928.44	$1,271.83	$2,707.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,984.95 / $2,435.42 / $3,055.44	Professional		$1,984.95	$2,435.42	$3,055.44
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 $3,035.81 / $3,035.81 / $3,035.81	Professional		$3,035.81	$3,035.81	$3,035.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,232.06 / $1,760.09 / $1,848.09	Professional		$1,232.06	$1,760.09	$1,848.09
United Facility/Professional Professional Modifier Low / Median / High Price $889.09 / $1,165.03 / $2,045.63	Professional		$889.09	$1,165.03	$2,045.63