Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.54 / $1,452.25 / $3,150.00	Facility		$847.54	$1,452.25	$3,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,524.87	Professional		$1,452.25	$1,452.25	$1,524.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.25 / $1,862.25 / $1,862.25	Professional		$1,862.25	$1,862.25	$1,862.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,452.25	Facility		$1,452.25	$1,452.25	$1,452.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,914.56	Professional		$1,452.25	$1,452.25	$1,914.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.80 / $1,524.86 / $2,766.54	Professional		$1,161.80	$1,524.86	$2,766.54
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 $1,887.93 / $1,887.93 / $1,887.93	Professional		$1,887.93	$1,887.93	$1,887.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,418.14	Professional		$30.00	$40.00	$2,418.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,452.25 / $1,452.25 / $1,592.16	Professional		$1,452.25	$1,452.25	$1,592.16