Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,238.40 / $5,118.26 / $8,246.09	Facility		$3,238.40	$5,118.26	$8,246.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,077.32 / $2,590.71 / $5,781.74	Professional		$2,077.32	$2,590.71	$5,781.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,696.52 / $4,423.18 / $5,592.17	Facility		$3,696.52	$4,423.18	$5,592.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $3,159.42 / $4,802.32	Professional		$3,159.42	$3,159.42	$4,802.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.65 / $7,557.32 / $14,543.76	Facility		$3,548.65	$7,557.32	$14,543.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,791.30 / $3,848.09 / $4,610.43	Professional		$3,791.30	$3,848.09	$4,610.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,159.42 / $4,423.18 / $6,634.78	Professional		$3,159.42	$4,423.18	$6,634.78
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 $4,107.25 / $4,107.25 / $4,107.25	Professional		$4,107.25	$4,107.25	$4,107.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $4,644.35	Professional		$30.00	$30.00	$4,644.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,326.96 / $6,318.84 / $6,318.84	Facility		$1,326.96	$6,318.84	$6,318.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,895.65 / $3,159.42	Professional		$1,326.96	$1,895.65	$3,159.42