Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $4,265.80	Professional		$2,754.23	$3,235.94	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $3,630.78 / $5,754.40	Professional		$436.52	$3,630.78	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $199.53 / $630.96	Professional		$100.00	$199.53	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $691.83 / $3,388.44	Facility		$223.87	$691.83	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $3,890.45	Professional		$1,548.82	$2,344.23	$3,890.45