Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,058.37 / $4,116.74 / $5,873.89	Facility		$2,058.37	$4,116.74	$5,873.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,932.86 / $2,058.37 / $3,190.47	Professional		$1,932.86	$2,058.37	$3,190.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,438.98 / $13,395.49 / $33,206.53	Facility		$3,438.98	$13,395.49	$33,206.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $1,732.04 / $1,932.86	Professional		$3.50	$1,732.04	$1,932.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,457.45 / $6,237.06 / $11,555.19	Facility		$3,457.45	$6,237.06	$11,555.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,283.91 / $3,057.46 / $4,236.89	Professional		$1,283.91	$3,057.46	$4,236.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,560.41 / $4,267.35 / $6,556.76	Professional		$2,560.41	$4,267.35	$6,556.76
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 $3,263.27 / $3,263.27 / $3,263.27	Professional		$3,263.27	$3,263.27	$3,263.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,413.89 / $3,413.89 / $3,765.32	Professional		$3,413.89	$3,413.89	$3,765.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.29 / $1,599.00 / $2,931.37	Professional		$1,054.29	$1,599.00	$2,931.37