Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.07 / $4,671.35 / $7,620.16	Facility		$2,394.07	$4,671.35	$7,620.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.69 / $2,394.07 / $2,627.64	Professional		$2,189.69	$2,394.07	$2,627.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,415.93 / $4,087.44 / $5,167.68	Facility		$3,415.93	$4,087.44	$5,167.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,700.59 / $6,391.64 / $13,440.36	Facility		$3,700.59	$6,391.64	$13,440.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,503.52 / $3,556.09 / $4,260.59	Professional		$3,503.52	$3,556.09	$4,260.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $4,087.44 / $6,131.16	Professional		$2,919.60	$4,087.44	$6,131.16
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 $3,970.66 / $3,970.66 / $4,379.39	Professional		$3,970.66	$3,970.66	$4,379.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,226.23 / $5,839.20 / $5,839.20	Facility		$1,226.23	$5,839.20	$5,839.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $2,919.60	Professional		$1,226.23	$1,751.76	$2,919.60