Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $7,413.10	Facility		$2,884.03	$5,754.40	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,630.78	Professional		$2,884.03	$2,951.21	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $25,703.96	Facility		$2,137.96	$4,073.80	$25,703.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,318.26 / $3,548.13	Professional		$125.89	$1,318.26	$3,548.13
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 $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,570.88	Facility		$2,884.03	$2,884.03	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,235.94	Professional		$3,019.95	$3,019.95	$3,235.94