Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,152.08 / $3,519.67 / $4,619.57	Facility		$2,152.08	$3,519.67	$4,619.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,519.67 / $3,519.67 / $3,739.65	Professional		$3,519.67	$3,519.67	$3,739.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.80 / $3,036.26 / $6,309.18	Facility		$936.80	$3,036.26	$6,309.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Facility		$3,739.65	$3,739.65	$3,739.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,739.65 / $3,739.65 / $3,739.65	Professional		$3,739.65	$3,739.65	$3,739.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $653.46	Professional		$100.00	$200.00	$653.46
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,666.33 / $3,666.33 / $4,019.54	Professional		$3,666.33	$3,666.33	$4,019.54