Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $6,777.75 / $9,171.45	Facility		$3,175.86	$6,777.75	$9,171.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,982.21 / $3,485.70 / $4,647.60	Professional		$2,982.21	$3,485.70	$4,647.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,228.55 / $16,670.55 / $51,234.36	Facility		$5,228.55	$16,670.55	$51,234.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $2,672.37 / $2,982.21	Professional		$3.50	$2,672.37	$2,982.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,913.92 / $8,611.77 / $17,828.65	Facility		$4,913.92	$8,611.77	$17,828.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,890.09 / $4,717.52 / $6,537.17	Professional		$1,890.09	$4,717.52	$6,537.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,918.64 / $5,332.07 / $7,378.07	Professional		$3,918.64	$5,332.07	$7,378.07
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 $5,034.89 / $5,034.89 / $5,034.89	Professional		$5,034.89	$5,034.89	$5,034.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,267.28 / $5,267.28 / $5,809.50	Professional		$5,267.28	$5,267.28	$5,809.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,446.21 / $7,746.00 / $7,746.00	Facility		$1,446.21	$7,746.00	$7,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,198.40 / $3,873.00	Professional		$1,626.66	$2,198.40	$3,873.00