Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,737.63 / $2,737.63 / $2,737.63	Facility		$2,737.63	$2,737.63	$2,737.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,264.83 / $2,737.63 / $4,284.83	Professional		$2,264.83	$2,737.63	$4,284.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,609.63 / $11,182.33 / $47,591.61	Facility		$6,609.63	$11,182.33	$47,591.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,578.08 / $3,578.08 / $5,316.05	Facility		$3,578.08	$3,578.08	$5,316.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $6,412.50	Professional		$2,612.00	$2,612.00	$6,412.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,701.52 / $8,870.67 / $10,799.08	Professional		$4,701.52	$8,870.67	$10,799.08
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 $7,190.56 / $7,190.56 / $7,190.56	Professional		$7,190.56	$7,190.56	$7,190.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,122.51 / $4,460.72 / $4,683.76	Professional		$3,122.51	$4,460.72	$4,683.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,155.94 / $2,759.45 / $4,886.25	Professional		$2,155.94	$2,759.45	$4,886.25