Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.39 / $1,798.39 / $1,798.39	Facility		$1,798.39	$1,798.39	$1,798.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.09 / $1,798.39 / $2,658.01	Professional		$1,275.09	$1,798.39	$2,658.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,342.29 / $7,346.39 / $31,263.73	Facility		$4,342.29	$7,346.39	$31,263.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $3,746.13	Facility		$1,784.15	$1,784.15	$3,746.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $4,212.38	Professional		$1,302.43	$1,784.15	$4,212.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,044.70 / $3,735.75 / $4,723.59	Professional		$3,044.70	$3,735.75	$4,723.59
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 $4,723.59 / $4,723.59 / $4,723.59	Professional		$4,723.59	$4,723.59	$4,723.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,051.23 / $2,930.33 / $3,076.84	Professional		$2,051.23	$2,930.33	$3,076.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.49 / $1,812.73 / $3,045.64	Professional		$1,208.49	$1,812.73	$3,045.64