Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,555.12 / $5,110.24 / $7,291.44	Facility		$2,555.12	$5,110.24	$7,291.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,399.32 / $2,555.12 / $3,960.44	Professional		$2,399.32	$2,555.12	$3,960.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,206.60 / $13,468.91 / $41,220.31	Facility		$4,206.60	$13,468.91	$41,220.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $2,399.32 / $4,736.32	Professional		$4.50	$2,399.32	$4,736.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,083.02 / $7,615.89 / $14,344.22	Facility		$4,083.02	$7,615.89	$14,344.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,593.80 / $3,795.55 / $5,259.55	Professional		$1,593.80	$3,795.55	$5,259.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,178.32 / $4,442.46 / $6,543.60	Professional		$3,178.32	$4,442.46	$6,543.60
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 $4,050.80 / $4,050.80 / $4,050.80	Professional		$4,050.80	$4,050.80	$4,050.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,237.76 / $4,237.76 / $4,674.00	Professional		$4,237.76	$4,237.76	$4,674.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,869.60 / $3,125.73	Professional		$1,308.72	$1,869.60	$3,125.73