Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $7,762.47	Facility		$2,630.27	$4,265.80	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,951.21	Professional		$1,698.24	$2,089.30	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,467.37 / $4,168.69	Facility		$3,090.30	$3,467.37	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,786.30 / $11,748.98	Facility		$1,659.59	$4,786.30	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $3,715.35	Professional		$3,019.95	$3,162.28	$3,715.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $3,467.37 / $4,786.30	Professional		$346.74	$3,467.37	$4,786.30
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 $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
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 $2,570.40 / $2,570.40 / $5,128.61	Facility		$2,570.40	$2,570.40	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,570.40	Professional		$1,071.52	$1,548.82	$2,570.40