Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,335.98 / $3,737.56 / $5,948.19	Facility		$2,335.98	$3,737.56	$5,948.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,498.44 / $1,937.15 / $4,170.57	Professional		$1,498.44	$1,937.15	$4,170.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,666.43 / $3,190.60 / $4,033.83	Facility		$2,666.43	$3,190.60	$4,033.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,891.52 / $5,569.92 / $10,492.00	Facility		$2,891.52	$5,569.92	$10,492.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.80 / $2,775.96 / $3,325.92	Professional		$2,734.80	$2,775.96	$3,325.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,279.00 / $3,190.60 / $4,785.89	Professional		$2,279.00	$3,190.60	$4,785.89
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 $2,962.70 / $2,962.70 / $2,962.70	Professional		$2,962.70	$2,962.70	$2,962.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,099.44 / $3,099.44 / $3,418.50	Professional		$3,099.44	$3,099.44	$3,418.50
United Facility/Professional Professional Modifier Low / Median / High Price $957.18 / $1,367.40 / $2,279.00	Professional		$957.18	$1,367.40	$2,279.00