Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,077.14 / $4,923.42 / $7,835.45	Facility		$3,077.14	$4,923.42	$7,835.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,512.44 / $4,202.92 / $5,313.69	Facility		$3,512.44	$4,202.92	$5,313.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $3,002.09 / $4,563.18	Professional		$3,002.09	$3,002.09	$4,563.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,805.15 / $6,572.21 / $13,820.07	Facility		$3,805.15	$6,572.21	$13,820.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,602.51 / $3,656.78 / $4,381.22	Professional		$3,602.51	$3,656.78	$4,381.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $4,202.93 / $6,304.39	Professional		$3,002.09	$4,202.93	$6,304.39
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 $4,082.84 / $4,082.84 / $4,503.14	Professional		$4,082.84	$4,082.84	$4,503.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,801.25 / $3,002.09	Professional		$1,260.88	$1,801.25	$3,002.09