Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,608.00 / $5,772.80 / $9,187.20	Facility		$3,608.00	$5,772.80	$9,187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,928.00 / $4,928.00 / $7,216.00	Professional		$4,928.00	$4,928.00	$7,216.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,118.39 / $4,928.00 / $6,230.40	Facility		$4,118.39	$4,928.00	$6,230.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,520.00 / $3,520.00 / $3,520.00	Professional		$3,520.00	$3,520.00	$3,520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,953.57 / $8,746.20 / $16,204.07	Facility		$3,953.57	$8,746.20	$16,204.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.66 / $4,085.37 / $5,362.29	Professional		$1,722.66	$4,085.37	$5,362.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $4,752.00 / $6,300.97	Professional		$345.40	$4,752.00	$6,300.97
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 $1,760.00 / $1,936.00 / $3,520.00	Professional		$1,760.00	$1,936.00	$3,520.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $2,112.00 / $3,520.00	Professional		$1,478.40	$2,112.00	$3,520.00