Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $4,708.43 / $6,718.14	Facility		$2,354.21	$4,708.43	$6,718.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,210.67 / $2,354.21 / $3,649.04	Professional		$2,210.67	$2,354.21	$3,649.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,933.27 / $19,092.15 / $49,323.78	Facility		$3,933.27	$19,092.15	$49,323.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $2,871.00 / $4,363.92	Professional		$4.50	$2,871.00	$4,363.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,762.08 / $7,017.20 / $13,217.00	Facility		$3,762.08	$7,017.20	$13,217.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,468.56 / $3,496.99 / $4,846.22	Professional		$1,468.56	$3,496.99	$4,846.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,928.42 / $4,019.40 / $5,634.28	Professional		$2,928.42	$4,019.40	$5,634.28
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 $3,732.30 / $3,732.30 / $3,732.30	Professional		$3,732.30	$3,732.30	$3,732.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,904.56 / $3,904.56 / $4,306.50	Professional		$3,904.56	$3,904.56	$4,306.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,169.73 / $1,579.05 / $2,871.00	Professional		$1,169.73	$1,579.05	$2,871.00