Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.32 / $1,494.41 / $2,972.34	Facility		$1,444.32	$1,494.41	$2,972.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,569.13	Professional		$1,494.41	$1,494.41	$1,569.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,835.20 / $4,216.20 / $19,928.68	Facility		$1,835.20	$4,216.20	$19,928.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,494.41	Facility		$1,494.41	$1,494.41	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,762.28	Professional		$1,494.41	$1,494.41	$1,762.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.25 / $1,810.03 / $2,704.88	Professional		$1,270.25	$1,810.03	$2,704.88
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 $1,942.73 / $1,942.73 / $1,942.73	Professional		$1,942.73	$1,942.73	$1,942.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,196.69	Professional		$30.00	$40.00	$2,196.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,638.38	Professional		$1,494.41	$1,494.41	$1,638.38