Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.15 / $1,013.15 / $1,013.15	Facility		$1,013.15	$1,013.15	$1,013.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.70 / $1,013.15 / $1,444.26	Professional		$737.70	$1,013.15	$1,444.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,445.42 / $4,137.22 / $17,612.81	Facility		$2,445.42	$4,137.22	$17,612.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,888.13	Facility		$1,324.18	$1,324.18	$1,888.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,324.18 / $2,373.00	Professional		$966.65	$1,324.18	$2,373.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.95 / $2,200.48 / $2,788.78	Professional		$1,739.95	$2,200.48	$2,788.78
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 $2,661.10 / $2,661.10 / $2,661.10	Professional		$2,661.10	$2,661.10	$2,661.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,155.58 / $1,650.84 / $1,733.38	Professional		$1,155.58	$1,650.84	$1,733.38
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.21 / $1,021.22 / $1,793.13	Professional		$690.21	$1,021.22	$1,793.13