Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,280.00 / $5,184.00 / $8,352.00	Facility		$3,280.00	$5,184.00	$8,352.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,104.00 / $2,624.00 / $5,173.76	Professional		$2,104.00	$2,624.00	$5,173.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,744.00 / $4,480.00 / $5,664.00	Facility		$3,744.00	$4,480.00	$5,664.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,594.25 / $7,654.40 / $14,731.38	Facility		$3,594.25	$7,654.40	$14,731.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $3,897.99 / $4,670.24	Professional		$3,840.00	$3,897.99	$4,670.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $4,480.00 / $6,720.00	Professional		$3,200.00	$4,480.00	$6,720.00
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 $4,160.00 / $4,160.00 / $4,160.00	Professional		$4,160.00	$4,160.00	$4,160.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,352.00 / $4,352.00 / $4,800.00	Professional		$4,352.00	$4,352.00	$4,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,920.00 / $3,200.00	Professional		$1,344.00	$1,920.00	$3,200.00