Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.24 / $1,032.24 / $1,032.24	Facility		$1,032.24	$1,032.24	$1,032.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.04 / $1,088.08 / $1,620.48	Professional		$809.04	$1,088.08	$1,620.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,491.53 / $4,215.22 / $17,944.59	Facility		$2,491.53	$4,215.22	$17,944.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $2,417.07	Facility		$1,349.13	$1,349.13	$2,417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $2,441.80	Professional		$984.86	$984.86	$2,441.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,772.73 / $2,381.31 / $2,919.78	Professional		$1,772.73	$2,381.31	$2,919.78
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 $2,711.23 / $2,711.23 / $2,711.23	Professional		$2,711.23	$2,711.23	$2,711.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,100.33 / $1,571.90 / $1,650.49	Professional		$1,100.33	$1,571.90	$1,650.49
United Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $1,040.46 / $1,826.90	Professional		$753.18	$1,040.46	$1,826.90