Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,996.70 / $4,345.57 / $6,355.35	Facility		$1,996.70	$4,345.57	$6,355.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.25 / $1,996.70 / $2,094.10	Professional		$1,826.25	$1,996.70	$2,094.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,848.95 / $3,409.00 / $4,309.95	Facility		$2,848.95	$3,409.00	$4,309.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,435.00 / $2,435.00 / $3,701.20	Professional		$2,435.00	$2,435.00	$3,701.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,190.56 / $5,824.52 / $11,209.73	Facility		$3,190.56	$5,824.52	$11,209.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,922.00 / $2,965.96 / $3,553.56	Professional		$2,922.00	$2,965.96	$3,553.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,191.50 / $3,287.25 / $5,113.50	Professional		$2,191.50	$3,287.25	$5,113.50
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 $3,165.50 / $3,165.50 / $3,165.50	Professional		$3,165.50	$3,165.50	$3,165.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,579.45	Professional		$30.00	$30.00	$3,579.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.70 / $1,461.00 / $2,435.00	Professional		$1,022.70	$1,461.00	$2,435.00