Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $6,196.80 / $10,108.50	Facility		$3,175.86	$6,196.80	$10,108.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,904.75 / $3,175.86 / $3,485.70	Professional		$2,904.75	$3,175.86	$3,485.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,531.41 / $5,422.20 / $6,855.21	Facility		$4,531.41	$5,422.20	$6,855.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $5,886.96	Professional		$3,873.00	$3,873.00	$5,886.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,334.48 / $9,466.56 / $17,828.65	Facility		$5,334.48	$9,466.56	$17,828.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,647.60 / $4,717.52 / $5,652.12	Professional		$4,647.60	$4,717.52	$5,652.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,873.00 / $5,422.20 / $8,133.30	Professional		$3,873.00	$5,422.20	$8,133.30
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 $5,267.28 / $5,267.28 / $5,809.50	Professional		$5,267.28	$5,267.28	$5,809.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $3,873.00	Professional		$1,626.66	$2,323.80	$3,873.00