Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $2,457.00	Facility		$1,393.12	$1,393.12	$2,457.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,616.02	Professional		$1,393.12	$1,393.12	$1,616.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,820.68 / $1,820.68 / $1,909.07	Professional		$1,820.68	$1,820.68	$1,909.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,393.12	Facility		$1,393.12	$1,393.12	$1,393.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,839.97	Professional		$1,393.12	$1,393.12	$1,839.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.50 / $1,462.78 / $2,925.55	Professional		$1,114.50	$1,462.78	$2,925.55
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 $1,811.06 / $1,811.06 / $1,811.06	Professional		$1,811.06	$1,811.06	$1,811.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,364.16	Professional		$30.00	$40.00	$2,364.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,393.12 / $1,393.12 / $1,862.50	Professional		$1,393.12	$1,393.12	$1,862.50