Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,989.51 / $4,783.22 / $7,612.33	Facility		$2,989.51	$4,783.22	$7,612.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,989.51 / $5,979.03 / $5,979.03	Professional		$2,989.51	$5,979.03	$5,979.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,412.42 / $4,083.24 / $5,162.38	Facility		$3,412.42	$4,083.24	$5,162.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,696.79 / $6,385.26 / $13,426.95	Facility		$3,696.79	$6,385.26	$13,426.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,499.92 / $3,552.58 / $4,256.39	Professional		$3,499.92	$3,552.58	$4,256.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $4,083.24 / $6,124.86	Professional		$2,916.60	$4,083.24	$6,124.86
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 $3,966.58 / $3,966.58 / $4,287.39	Professional		$3,966.58	$3,966.58	$4,287.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,749.96 / $2,916.60	Professional		$1,224.97	$1,749.96	$2,916.60