Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,819.15 / $6,135.53 / $8,973.12	Facility		$2,819.15	$6,135.53	$8,973.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,578.48 / $2,819.15 / $2,956.67	Professional		$2,578.48	$2,819.15	$2,956.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,022.43 / $4,813.17 / $6,085.22	Facility		$4,022.43	$4,813.17	$6,085.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,437.98 / $3,437.98 / $5,225.72	Professional		$3,437.98	$3,437.98	$5,225.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,505.22 / $8,223.66 / $15,827.34	Facility		$4,505.22	$8,223.66	$15,827.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,125.58 / $4,187.37 / $5,016.93	Professional		$4,125.58	$4,187.37	$5,016.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.18 / $4,641.27 / $7,219.76	Professional		$3,094.18	$4,641.27	$7,219.76
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 $4,469.37 / $4,469.37 / $4,469.37	Professional		$4,469.37	$4,469.37	$4,469.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $4,675.64 / $5,156.97	Professional		$30.00	$4,675.64	$5,156.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.95 / $2,062.79 / $3,437.98	Professional		$1,443.95	$2,062.79	$3,437.98