Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,870.00 / $5,600.00 / $9,135.00	Facility		$2,870.00	$5,600.00	$9,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $2,870.00 / $3,150.00	Professional		$2,625.00	$2,870.00	$3,150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,095.00 / $4,900.00 / $6,195.00	Facility		$4,095.00	$4,900.00	$6,195.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $3,500.00 / $5,320.00	Professional		$3,500.00	$3,500.00	$5,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,440.72 / $8,372.00 / $16,111.75	Facility		$4,440.72	$8,372.00	$16,111.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,263.10 / $5,107.68	Professional		$4,200.00	$4,263.10	$5,107.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.00 / $4,900.00 / $7,350.00	Professional		$3,500.00	$4,900.00	$7,350.00
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 $4,550.00 / $4,550.00 / $4,550.00	Professional		$4,550.00	$4,550.00	$4,550.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $4,760.00	Professional		$30.00	$30.00	$4,760.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.00 / $2,100.00 / $3,500.00	Professional		$1,470.00	$2,100.00	$3,500.00