Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,058.37 / $4,016.34 / $6,551.65	Facility		$2,058.37	$4,016.34	$6,551.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.66 / $2,058.37 / $2,259.19	Professional		$1,882.66	$2,058.37	$2,259.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,936.94 / $3,514.29 / $4,443.07	Facility		$2,936.94	$3,514.29	$4,443.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,457.45 / $5,495.14 / $11,555.19	Facility		$3,457.45	$5,495.14	$11,555.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,012.25 / $3,057.46 / $3,663.18	Professional		$3,012.25	$3,057.46	$3,663.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.21 / $3,514.29 / $5,271.44	Professional		$2,510.21	$3,514.29	$5,271.44
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 $3,413.89 / $3,413.89 / $3,765.32	Professional		$3,413.89	$3,413.89	$3,765.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,534.02 / $2,931.37	Professional		$1,054.29	$1,534.02	$2,931.37