Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.41 / $1,127.41 / $1,127.41	Facility		$1,127.41	$1,127.41	$1,127.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.10 / $1,127.41 / $1,621.05	Professional		$821.10	$1,127.41	$1,621.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,722.08 / $4,605.28 / $19,599.22	Facility		$2,722.08	$4,605.28	$19,599.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $2,517.90	Facility		$1,473.53	$1,473.53	$2,517.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,473.53 / $2,640.75	Professional		$1,075.68	$1,473.53	$2,640.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,936.18 / $2,617.44 / $3,189.00	Professional		$1,936.18	$2,617.44	$3,189.00
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 $2,961.22 / $2,961.22 / $2,961.22	Professional		$2,961.22	$2,961.22	$2,961.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,716.84 / $1,802.68	Professional		$1,201.78	$1,716.84	$1,802.68
United Facility/Professional Professional Modifier Low / Median / High Price $819.78 / $1,136.39 / $1,995.36	Professional		$819.78	$1,136.39	$1,995.36