Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.77 / $1,336.77 / $1,336.77	Facility		$1,336.77	$1,336.77	$1,336.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.32 / $1,336.77 / $2,097.21	Professional		$1,045.32	$1,336.77	$2,097.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,227.70 / $5,460.70 / $23,238.74	Facility		$3,227.70	$5,460.70	$23,238.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.16 / $1,747.16 / $2,536.44	Facility		$1,747.16	$1,747.16	$2,536.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,747.16 / $3,131.25	Professional		$1,275.43	$1,747.16	$3,131.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.34 / $2,700.85 / $3,382.49	Professional		$2,183.34	$2,700.85	$3,382.49
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 $3,511.11 / $3,511.11 / $3,511.11	Professional		$3,511.11	$3,511.11	$3,511.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,524.70 / $2,178.15 / $2,287.05	Professional		$1,524.70	$2,178.15	$2,287.05
United Facility/Professional Professional Modifier Low / Median / High Price $939.81 / $1,347.43 / $2,313.08	Professional		$939.81	$1,347.43	$2,313.08