Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,836.26	Facility		$1,969.89	$1,969.89	$2,836.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,068.38	Professional		$1,969.89	$1,969.89	$2,068.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,268.96 / $2,268.96 / $2,268.96	Professional		$2,268.96	$2,268.96	$2,268.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $1,969.89	Facility		$1,969.89	$1,969.89	$1,969.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,322.98	Professional		$1,969.89	$1,969.89	$2,322.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $688.87 / $1,969.89 / $2,954.84	Professional		$688.87	$1,969.89	$2,954.84
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 $2,560.86 / $2,560.86 / $2,560.86	Professional		$2,560.86	$2,560.86	$2,560.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,969.89 / $1,969.89 / $2,225.98	Professional		$1,969.89	$1,969.89	$2,225.98