Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,553.41 / $4,041.56 / $7,678.96	Facility		$2,553.41	$4,041.56	$7,678.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,294.16	Professional		$4,041.56	$4,041.56	$4,294.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,413.00 / $30,732.68 / $63,851.01	Facility		$1,413.00	$30,732.68	$63,851.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,051.95 / $5,051.95 / $5,051.95	Professional		$5,051.95	$5,051.95	$5,051.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $5,389.25 / $6,504.79	Professional		$345.40	$5,389.25	$6,504.79
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 $4,209.96 / $4,209.96 / $4,783.95	Professional		$4,209.96	$4,209.96	$4,783.95