Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.92 / $1,228.92 / $1,228.92	Facility		$1,228.92	$1,228.92	$1,228.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.35 / $1,254.00 / $1,898.99	Professional		$1,062.35	$1,254.00	$1,898.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,966.94 / $5,019.54 / $21,363.74	Facility		$2,966.94	$5,019.54	$21,363.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $2,676.39	Facility		$1,606.19	$1,606.19	$2,676.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,606.19 / $2,878.50	Professional		$1,172.52	$1,606.19	$2,878.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.35 / $2,482.94 / $3,078.85	Professional		$1,986.35	$2,482.94	$3,078.85
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 $3,227.82 / $3,227.82 / $3,227.82	Professional		$3,227.82	$3,227.82	$3,227.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,309.99 / $1,871.42 / $1,964.99	Professional		$1,309.99	$1,871.42	$1,964.99
United Facility/Professional Professional Modifier Low / Median / High Price $872.39 / $1,238.71 / $2,126.46	Professional		$872.39	$1,238.71	$2,126.46