Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,175.86 / $6,196.80 / $10,108.50	Facility		$3,175.86	$6,196.80	$10,108.50
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 $5,112.35 / $16,282.86 / $56,453.23	Facility		$5,112.35	$16,282.86	$56,453.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $2,672.37 / $5,034.89	Professional		$3.50	$2,672.37	$5,034.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,909.03 / $8,478.51 / $17,828.65	Facility		$4,909.03	$8,478.51	$17,828.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.96 / $4,717.52 / $6,537.17	Professional		$1,980.96	$4,717.52	$6,537.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,950.46 / $5,450.03 / $7,692.31	Professional		$3,950.46	$5,450.03	$7,692.31
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