Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $3,490.20	Facility		$2,068.46	$2,068.46	$3,490.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,171.90	Professional		$2,068.46	$2,068.46	$2,171.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.26 / $1,455.55 / $5,120.67	Facility		$727.26	$1,455.55	$5,120.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.13 / $398.13 / $413.34	Professional		$398.13	$398.13	$413.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,068.46	Facility		$2,068.46	$2,068.46	$2,068.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,439.23	Professional		$2,068.46	$2,068.46	$2,439.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $441.00 / $2,068.46 / $3,102.71	Professional		$441.00	$2,068.46	$3,102.71
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 $2,689.01 / $2,689.01 / $2,689.01	Professional		$2,689.01	$2,689.01	$2,689.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $258.81	Professional		$30.00	$40.00	$258.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,068.46 / $2,068.46 / $2,350.48	Professional		$2,068.46	$2,068.46	$2,350.48