Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $6,351.72 / $9,062.82	Facility		$3,175.86	$6,351.72	$9,062.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,982.21 / $3,175.86 / $4,922.58	Professional		$2,982.21	$3,175.86	$4,922.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,228.55 / $19,000.80 / $59,786.40	Facility		$5,228.55	$19,000.80	$59,786.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3,306.00 / $3,480.00	Professional		$3.50	$3,306.00	$3,480.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,334.48 / $9,466.56 / $17,828.65	Facility		$5,334.48	$9,466.56	$17,828.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,744.47 / $4,305.22 / $6,537.17	Professional		$1,744.47	$4,305.22	$6,537.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,918.64 / $5,422.20 / $8,194.31	Professional		$3,918.64	$5,422.20	$8,194.31
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 Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $3,873.00	Professional		$1,626.66	$2,323.80	$3,873.00