Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,777.70 / $5,271.95 / $7,444.24	Facility		$2,777.70	$5,271.95	$7,444.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.79 / $2,167.96 / $4,959.21	Professional		$1,781.79	$2,167.96	$4,959.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,170.64 / $3,793.93 / $4,796.60	Facility		$3,170.64	$3,793.93	$4,796.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.25 / $6,482.21 / $12,475.44	Facility		$3,438.25	$6,482.21	$12,475.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,251.94 / $3,300.86 / $3,954.81	Professional		$3,251.94	$3,300.86	$3,954.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $3,793.93 / $5,690.90	Professional		$2,709.95	$3,793.93	$5,690.90
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 $3,522.94 / $3,522.94 / $3,522.94	Professional		$3,522.94	$3,522.94	$3,522.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,983.63	Professional		$30.00	$30.00	$3,983.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,625.97 / $2,709.95	Professional		$1,138.18	$1,625.97	$2,709.95