Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.00 / $5,760.00 / $9,396.00	Facility		$2,952.00	$5,760.00	$9,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,700.00 / $2,952.00 / $3,240.00	Professional		$2,700.00	$2,952.00	$3,240.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,212.00 / $5,040.00 / $6,372.00	Facility		$4,212.00	$5,040.00	$6,372.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,043.30 / $8,611.20 / $16,571.87	Facility		$4,043.30	$8,611.20	$16,571.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $4,384.80 / $5,253.49	Professional		$4,320.00	$4,384.80	$5,253.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $5,040.00 / $7,560.00	Professional		$3,600.00	$5,040.00	$7,560.00
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 $4,680.00 / $4,680.00 / $4,680.00	Professional		$4,680.00	$4,680.00	$4,680.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,896.00 / $4,896.00 / $5,400.00	Professional		$4,896.00	$4,896.00	$5,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $3,600.00	Professional		$1,512.00	$2,160.00	$3,600.00