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 $5,228.55 / $16,741.04 / $51,234.36	Facility		$5,228.55	$16,741.04	$51,234.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,913.92 / $9,264.21 / $17,828.65	Facility		$4,913.92	$9,264.21	$17,828.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,766.02 / $1,980.96 / $5,942.88	Professional		$1,766.02	$1,980.96	$5,942.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,918.64 / $5,422.20 / $7,378.07	Professional		$3,918.64	$5,422.20	$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 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