Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,599.00 / $3,120.00 / $5,089.50	Facility		$1,599.00	$3,120.00	$5,089.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,599.00 / $1,677.00	Professional		$1,462.50	$1,599.00	$1,677.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,281.50 / $2,730.00 / $3,451.50	Facility		$2,281.50	$2,730.00	$3,451.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,471.63 / $4,171.34 / $8,976.12	Facility		$2,471.63	$4,171.34	$8,976.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,374.96 / $2,845.47	Professional		$2,340.00	$2,374.96	$2,845.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,632.50 / $4,095.00	Professional		$1,755.00	$2,632.50	$4,095.00
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 $2,652.00 / $2,652.00 / $2,925.00	Professional		$2,652.00	$2,652.00	$2,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $1,170.00 / $1,950.00	Professional		$819.00	$1,170.00	$1,950.00