Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.76 / $4,220.17 / $4,220.17	Facility		$1,641.76	$4,220.17	$4,220.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $5,011.45	Professional		$4,220.17	$4,220.17	$5,011.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,209.60 / $7,445.73 / $21,171.13	Facility		$4,209.60	$7,445.73	$21,171.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Facility		$4,483.93	$4,483.93	$4,483.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.50 / $2,192.13 / $4,660.00	Professional		$1,395.50	$2,192.13	$4,660.00
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 $2,134.29 / $2,134.29 / $2,134.29	Professional		$2,134.29	$2,134.29	$2,134.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $5,607.55	Professional		$5,275.21	$5,275.21	$5,607.55