Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,511.89	Facility		$1,202.26	$1,202.26	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,398.83	Professional		$1,047.13	$1,258.93	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $16,982.44	Facility		$2,951.21	$4,786.30	$16,982.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,754.23	Facility		$1,380.38	$1,380.38	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,691.53	Professional		$1,000.00	$1,000.00	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $3,235.94	Professional		$2,089.30	$2,511.89	$3,235.94
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 $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,862.09	Professional		$1,288.25	$1,288.25	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,548.13	Facility		$1,445.44	$1,949.84	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,905.46	Professional		$933.25	$1,230.27	$1,905.46