Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,248.07 / $9,549.93	Facility		$3,235.94	$5,248.07	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $3,715.35	Professional		$2,089.30	$2,570.40	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,265.80 / $5,128.61	Facility		$3,801.89	$4,265.80	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,888.44 / $15,848.93	Facility		$2,041.74	$5,888.44	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,890.45 / $4,570.88	Professional		$3,630.78	$3,890.45	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $4,265.80 / $5,888.44	Professional		$346.74	$4,265.80	$5,888.44
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 $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
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 $3,162.28 / $3,162.28 / $6,309.57	Facility		$3,162.28	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,162.28	Professional		$1,318.26	$1,905.46	$3,162.28