Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.40 / $1,274.40 / $1,274.40	Facility		$1,274.40	$1,274.40	$1,274.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.33 / $1,274.40 / $2,056.25	Professional		$1,023.33	$1,274.40	$2,056.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,076.65 / $5,205.14 / $22,154.43	Facility		$3,076.65	$5,205.14	$22,154.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,665.63 / $1,665.63 / $2,517.23	Facility		$1,665.63	$1,665.63	$2,517.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.91 / $1,665.63 / $2,985.00	Professional		$1,215.91	$1,665.63	$2,985.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.61 / $2,902.54 / $3,604.76	Professional		$2,188.61	$2,902.54	$3,604.76
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 $3,347.28 / $3,347.28 / $3,347.28	Professional		$3,347.28	$3,347.28	$3,347.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,358.46 / $1,940.67 / $2,037.70	Professional		$1,358.46	$1,940.67	$2,037.70
United Facility/Professional Professional Modifier Low / Median / High Price $951.38 / $1,284.55 / $2,205.15	Professional		$951.38	$1,284.55	$2,205.15