Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.43 / $3,073.14 / $4,951.17	Facility		$1,944.43	$3,073.14	$4,951.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.28 / $1,555.54 / $3,471.51	Professional		$1,247.28	$1,555.54	$3,471.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,219.48 / $2,655.80 / $3,357.69	Facility		$2,219.48	$2,655.80	$3,357.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $1,897.00 / $2,883.44	Professional		$1,897.00	$1,897.00	$2,883.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,406.69 / $4,636.91 / $8,733.40	Facility		$2,406.69	$4,636.91	$8,733.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,276.40 / $2,311.04 / $2,768.89	Professional		$2,276.40	$2,311.04	$2,768.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.00 / $2,655.80 / $3,983.70	Professional		$1,897.00	$2,655.80	$3,983.70
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 $2,579.92 / $2,579.92 / $2,845.50	Professional		$2,579.92	$2,579.92	$2,845.50
United Facility/Professional Professional Modifier Low / Median / High Price $796.74 / $1,138.20 / $1,897.00	Professional		$796.74	$1,138.20	$1,897.00