Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,058.37 / $4,016.34 / $6,551.65	Facility		$2,058.37	$4,016.34	$6,551.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.66 / $2,058.37 / $2,259.19	Professional		$1,882.66	$2,058.37	$2,259.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,936.94 / $3,514.29 / $4,443.07	Facility		$2,936.94	$3,514.29	$4,443.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,184.82 / $6,004.44 / $11,555.19	Facility		$3,184.82	$6,004.44	$11,555.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,776.14 / $3,012.25 / $3,326.13	Professional		$2,776.14	$3,012.25	$3,326.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,259.19 / $3,388.78 / $5,271.44	Professional		$2,259.19	$3,388.78	$5,271.44
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,690.01	Professional		$30.00	$30.00	$3,690.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,506.13 / $2,638.23	Professional		$1,054.29	$1,506.13	$2,638.23