Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,639.01 / $4,170.93 / $6,719.84	Facility		$2,639.01	$4,170.93	$6,719.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,692.83 / $2,111.21 / $2,317.19	Professional		$1,692.83	$2,111.21	$2,317.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,012.34 / $3,604.51 / $4,557.13	Facility		$3,012.34	$3,604.51	$4,557.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $2,574.65 / $3,913.47	Professional		$2,574.65	$2,574.65	$3,913.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,891.80 / $6,158.55 / $11,853.01	Facility		$2,891.80	$6,158.55	$11,853.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,089.58 / $3,135.82 / $3,757.07	Professional		$3,089.58	$3,135.82	$3,757.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $3,604.51 / $5,406.77	Professional		$2,574.65	$3,604.51	$5,406.77
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 $3,347.05 / $3,347.05 / $3,347.05	Professional		$3,347.05	$3,347.05	$3,347.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,501.52 / $3,501.52 / $3,861.98	Professional		$3,501.52	$3,501.52	$3,861.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.34 / $1,544.79 / $2,574.65	Professional		$1,081.34	$1,544.79	$2,574.65