Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.05 / $1,237.28 / $1,764.00	Facility		$1,195.05	$1,237.28	$1,764.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,299.15	Professional		$1,237.28	$1,237.28	$1,299.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.44 / $1,195.44 / $1,255.21	Professional		$1,195.44	$1,195.44	$1,255.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,237.28	Facility		$1,237.28	$1,237.28	$1,237.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.28 / $1,237.28 / $1,459.06	Professional		$1,237.28	$1,237.28	$1,459.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.65 / $1,446.00 / $2,357.02	Professional		$1,043.65	$1,446.00	$2,357.02
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 $1,608.46 / $1,608.46 / $1,608.46	Professional		$1,608.46	$1,608.46	$1,608.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $1,552.28	Professional		$30.00	$40.00	$1,552.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.18 / $1,237.28 / $1,356.48	Professional		$1,174.18	$1,237.28	$1,356.48