Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.67 / $1,961.00 / $2,520.00	Facility		$1,836.67	$1,961.00	$2,520.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,059.05	Professional		$1,961.00	$1,961.00	$2,059.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $2,280.00 / $2,280.00	Professional		$2,280.00	$2,280.00	$2,280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $1,961.00	Facility		$1,961.00	$1,961.00	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,312.50	Professional		$1,961.00	$1,961.00	$2,312.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,289.63 / $1,961.00 / $2,941.50	Professional		$1,289.63	$1,961.00	$2,941.50
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 $2,549.30 / $2,549.30 / $2,549.30	Professional		$2,549.30	$2,549.30	$2,549.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,960.58	Professional		$30.00	$40.00	$2,960.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,961.00 / $1,961.00 / $2,120.02	Professional		$1,961.00	$1,961.00	$2,120.02