Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,387.04 / $11,417.40	Facility		$3,072.00	$3,387.04	$11,417.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $3,762.00	Professional		$3,072.00	$3,072.00	$3,762.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,557.21 / $26,928.00 / $55,954.80	Facility		$2,557.21	$26,928.00	$55,954.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,960.00 / $3,960.00 / $3,960.00	Professional		$3,960.00	$3,960.00	$3,960.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,667.28 / $3,667.52 / $4,635.38	Professional		$2,667.28	$3,667.52	$4,635.38
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 $3,200.00 / $3,200.00 / $3,508.29	Professional		$3,200.00	$3,200.00	$3,508.29