Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,664.60 / $3,248.00 / $5,298.30	Facility		$1,664.60	$3,248.00	$5,298.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.50 / $1,664.60 / $1,827.00	Professional		$1,522.50	$1,664.60	$1,827.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,375.10 / $2,842.00 / $3,593.10	Facility		$2,375.10	$2,842.00	$3,593.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,280.19 / $4,855.76 / $9,345.41	Facility		$2,280.19	$4,855.76	$9,345.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $2,472.58 / $2,962.43	Professional		$2,436.00	$2,472.58	$2,962.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,842.00 / $4,263.00	Professional		$2,030.00	$2,842.00	$4,263.00
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 $2,639.00 / $2,639.00 / $2,639.00	Professional		$2,639.00	$2,639.00	$2,639.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,760.80 / $2,760.80 / $2,984.10	Professional		$2,760.80	$2,760.80	$2,984.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,030.00 / $2,030.00 / $2,030.00	Facility		$2,030.00	$2,030.00	$2,030.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,218.00 / $2,030.00	Professional		$852.60	$1,218.00	$2,030.00