Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.75 / $1,502.75 / $1,502.75	Facility		$1,502.75	$1,502.75	$1,502.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.72 / $1,502.75 / $2,521.86	Professional		$1,109.72	$1,502.75	$2,521.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,628.38 / $6,138.58 / $26,124.08	Facility		$3,628.38	$6,138.58	$26,124.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.76 / $1,552.76 / $3,644.62	Facility		$1,552.76	$1,552.76	$3,644.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $3,644.62	Professional		$1,133.51	$1,133.51	$3,644.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,580.77 / $3,218.64 / $4,038.04	Professional		$2,580.77	$3,218.64	$4,038.04
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 $3,947.06 / $3,947.06 / $3,947.06	Professional		$3,947.06	$3,947.06	$3,947.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,601.88 / $2,288.40 / $2,402.82	Professional		$1,601.88	$2,288.40	$2,402.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.09 / $1,514.72 / $2,600.28	Professional		$1,033.09	$1,514.72	$2,600.28