Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $3,150.00	Facility		$1,590.54	$1,590.54	$3,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,692.71	Professional		$1,590.54	$1,590.54	$1,692.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,098.48 / $2,098.48 / $2,098.48	Professional		$2,098.48	$2,098.48	$2,098.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Facility		$1,590.54	$1,590.54	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,909.85	Professional		$1,590.54	$1,590.54	$1,909.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.96 / $1,972.27 / $3,064.60	Professional		$1,351.96	$1,972.27	$3,064.60
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 $2,067.69 / $2,067.69 / $2,067.69	Professional		$2,067.69	$2,067.69	$2,067.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,724.88	Professional		$30.00	$40.00	$2,724.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,853.66	Professional		$1,590.54	$1,590.54	$1,853.66