Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,179.35 / $3,444.44 / $5,549.38	Facility		$2,179.35	$3,444.44	$5,549.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,397.98 / $1,747.55 / $2,019.89	Professional		$1,397.98	$1,747.55	$2,019.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,487.65 / $2,976.68 / $3,763.37	Facility		$2,487.65	$2,976.68	$3,763.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,126.19 / $3,231.82	Professional		$2,126.19	$2,126.19	$3,231.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,697.50 / $5,085.87 / $9,787.66	Facility		$2,697.50	$5,085.87	$9,787.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.44 / $2,589.91 / $3,103.00	Professional		$2,551.44	$2,589.91	$3,103.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.19 / $2,976.68 / $4,465.02	Professional		$2,126.19	$2,976.68	$4,465.02
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 $30.00 / $30.00 / $3,125.51	Professional		$30.00	$30.00	$3,125.51
United Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $4,252.39 / $4,252.39	Facility		$893.00	$4,252.39	$4,252.39
United Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,275.72 / $2,126.19	Professional		$893.00	$1,275.72	$2,126.19