Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,180.33 / $6,921.60 / $10,122.79	Facility		$3,180.33	$6,921.60	$10,122.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,986.41 / $3,180.33 / $3,490.61	Professional		$2,986.41	$3,180.33	$3,490.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,537.78 / $5,429.83 / $6,864.85	Facility		$4,537.78	$5,429.83	$6,864.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,878.45 / $3,878.45 / $5,895.24	Professional		$3,878.45	$3,878.45	$5,895.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,082.32 / $9,277.24 / $17,853.96	Facility		$5,082.32	$9,277.24	$17,853.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,654.14 / $4,724.08 / $5,659.99	Professional		$4,654.14	$4,724.08	$5,659.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,490.61 / $5,235.91 / $8,144.75	Professional		$3,490.61	$5,235.91	$8,144.75
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 $5,041.99 / $5,041.99 / $5,041.99	Professional		$5,041.99	$5,041.99	$5,041.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $5,274.69 / $5,817.68	Professional		$30.00	$5,274.69	$5,817.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.95 / $2,327.07 / $3,878.45	Professional		$1,628.95	$2,327.07	$3,878.45