Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,248.07 / $8,128.31	Facility		$2,754.23	$5,248.07	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $3,235.94	Professional		$1,819.70	$2,238.72	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,630.78 / $4,466.84	Facility		$3,235.94	$3,630.78	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,011.87 / $12,589.25	Facility		$1,778.28	$5,011.87	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $3,981.07	Professional		$3,162.28	$3,311.31	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $3,630.78 / $5,011.87	Professional		$346.74	$3,630.78	$5,011.87
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $5,370.32	Facility		$2,691.53	$2,691.53	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,691.53	Professional		$1,148.15	$1,621.81	$2,691.53