Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,835.00	Facility		$1,902.62	$1,902.62	$2,835.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,092.88	Professional		$1,902.62	$1,902.62	$2,092.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,660.29 / $2,660.29 / $2,793.30	Professional		$2,660.29	$2,660.29	$2,793.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $1,902.62	Facility		$1,902.62	$1,902.62	$1,902.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,295.00	Professional		$1,902.62	$1,902.62	$2,295.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,522.10 / $1,997.75 / $3,624.49	Professional		$1,522.10	$1,997.75	$3,624.49
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 $2,473.41 / $2,473.41 / $2,473.41	Professional		$2,473.41	$2,473.41	$2,473.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $3,454.38	Professional		$30.00	$40.00	$3,454.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.62 / $1,902.62 / $2,146.85	Professional		$1,902.62	$1,902.62	$2,146.85