Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.17 / $1,171.17 / $1,171.17	Facility		$1,171.17	$1,171.17	$1,171.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.53 / $1,171.17 / $1,801.91	Professional		$792.53	$1,171.17	$1,801.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,827.02 / $4,782.82 / $20,359.86	Facility		$2,827.02	$4,782.82	$20,359.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $2,539.56	Facility		$1,530.70	$1,530.70	$2,539.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $2,770.56	Professional		$1,117.41	$1,117.41	$2,770.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.79 / $2,427.90 / $3,076.14	Professional		$1,978.79	$2,427.90	$3,076.14
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 $3,076.14 / $3,076.14 / $3,076.14	Professional		$3,076.14	$3,076.14	$3,076.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,248.42 / $1,248.42 / $1,783.47	Professional		$1,248.42	$1,248.42	$1,783.47
United Facility/Professional Professional Modifier Low / Median / High Price $799.42 / $1,180.50 / $1,977.22	Professional		$799.42	$1,180.50	$1,977.22