Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.47 / $1,211.47 / $1,211.47	Facility		$1,211.47	$1,211.47	$1,211.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.88 / $1,211.47 / $2,008.24	Professional		$1,066.88	$1,211.47	$2,008.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,924.01 / $4,946.91 / $21,060.50	Facility		$2,924.01	$4,946.91	$21,060.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $2,679.28	Facility		$1,366.32	$1,366.32	$2,679.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $2,837.63	Professional		$997.41	$1,366.32	$2,837.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.54 / $2,527.98 / $3,203.96	Professional		$2,080.54	$2,527.98	$3,203.96
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 $3,182.00 / $3,182.00 / $3,182.00	Professional		$3,182.00	$3,182.00	$3,182.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,291.39 / $1,844.85 / $1,937.09	Professional		$1,291.39	$1,844.85	$1,937.09
United Facility/Professional Professional Modifier Low / Median / High Price $931.90 / $1,221.13 / $2,332.38	Professional		$931.90	$1,221.13	$2,332.38