Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,656.80 / $5,313.60 / $7,581.60	Facility		$2,656.80	$5,313.60	$7,581.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,494.80 / $2,754.00 / $4,118.04	Professional		$2,494.80	$2,754.00	$4,118.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,374.00 / $17,366.40 / $55,663.20	Facility		$4,374.00	$17,366.40	$55,663.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3,078.00 / $3,240.00	Professional		$3.50	$3,078.00	$3,240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,245.64 / $7,919.51 / $14,916.03	Facility		$4,245.64	$7,919.51	$14,916.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,657.34 / $3,946.15 / $5,469.21	Professional		$1,657.34	$3,946.15	$5,469.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,374.00 / $6,172.20	Professional		$3,240.00	$4,374.00	$6,172.20
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 $4,212.00 / $4,212.00 / $4,212.00	Professional		$4,212.00	$4,212.00	$4,212.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,406.39 / $4,406.39 / $4,860.00	Professional		$4,406.39	$4,406.39	$4,860.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,782.00 / $3,240.00	Professional		$1,360.80	$1,782.00	$3,240.00