Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $8,709.64	Facility		$2,398.83	$4,677.35	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $3,388.44	Professional		$1,949.84	$2,398.83	$3,388.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $4,786.30	Facility		$3,467.37	$3,981.07	$4,786.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,466.84	Professional		$2,951.21	$2,951.21	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,495.41 / $13,489.63	Facility		$1,905.46	$5,495.41	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,548.13 / $4,265.80	Professional		$3,388.44	$3,548.13	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $3,981.07 / $5,370.32	Professional		$346.74	$3,981.07	$5,370.32
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 $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
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 $2,951.21 / $2,951.21 / $5,888.44	Facility		$2,951.21	$2,951.21	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,951.21	Professional		$1,230.27	$1,737.80	$2,951.21