Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,344.23	Facility		$1,122.02	$1,122.02	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,187.76	Professional		$776.25	$1,122.02	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $15,848.93	Facility		$2,754.23	$4,466.84	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,570.40	Facility		$1,479.11	$1,479.11	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,511.89	Professional		$1,071.52	$1,071.52	$2,511.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,311.31	Professional		$1,949.84	$2,630.27	$3,311.31
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 $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,698.24	Professional		$1,202.26	$1,202.26	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,818.38	Facility		$1,148.15	$1,819.70	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,698.24	Professional		$758.58	$1,148.15	$1,698.24