Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,754.40 / $10,471.29	Facility		$3,548.13	$5,754.40	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $3,548.13	Professional		$1,778.28	$2,818.38	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,677.35 / $5,754.40	Facility		$4,168.69	$4,677.35	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,218.10	Facility		$2,290.87	$6,456.54	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,128.61	Professional		$4,073.80	$4,265.80	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $4,677.35 / $6,456.54	Professional		$346.74	$4,677.35	$6,456.54
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 $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
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 $3,467.37 / $3,467.37 / $7,079.46	Facility		$3,467.37	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,467.37	Professional		$1,479.11	$2,089.30	$3,467.37