Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.23 / $1,640.93 / $1,640.93	Facility		$1,491.23	$1,640.93	$1,640.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,706.57	Professional		$1,640.93	$1,640.93	$1,706.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.70 / $364.70 / $382.94	Professional		$364.70	$364.70	$382.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.79 / $1,887.07 / $3,125.97	Professional		$1,394.79	$1,887.07	$3,125.97
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 $2,133.21 / $2,133.21 / $2,133.21	Professional		$2,133.21	$2,133.21	$2,133.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $473.56	Professional		$30.00	$40.00	$473.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,741.03	Professional		$1,640.93	$1,640.93	$1,741.03