Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,173.00 / $4,729.27 / $6,916.50	Facility		$2,173.00	$4,729.27	$6,916.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.50 / $2,173.00 / $2,279.00	Professional		$1,987.50	$2,173.00	$2,279.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,100.50 / $3,710.00 / $4,690.50	Facility		$3,100.50	$3,710.00	$4,690.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $2,650.00 / $4,028.00	Professional		$2,650.00	$2,650.00	$4,028.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,472.46 / $6,338.80 / $12,199.96	Facility		$3,472.46	$6,338.80	$12,199.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,180.00 / $3,227.75 / $3,867.21	Professional		$3,180.00	$3,227.75	$3,867.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,385.00 / $3,577.50 / $5,565.00	Professional		$2,385.00	$3,577.50	$5,565.00
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 $3,445.00 / $3,445.00 / $3,445.00	Professional		$3,445.00	$3,445.00	$3,445.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $3,604.00 / $3,975.00	Professional		$30.00	$3,604.00	$3,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,590.00 / $2,650.00	Professional		$1,113.00	$1,590.00	$2,650.00