Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.72 / $3,264.00 / $11,483.70	Facility		$1,389.72	$3,264.00	$11,483.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,386.40 / $3,725.04	Professional		$3,264.00	$3,386.40	$3,725.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,745.05 / $10,864.00 / $45,864.00	Facility		$1,745.05	$10,864.00	$45,864.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,360.00 / $3,360.00 / $3,360.00	Professional		$3,360.00	$3,360.00	$3,360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,421.73 / $3,329.88 / $4,208.64	Professional		$2,421.73	$3,329.88	$4,208.64
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 $3,400.00 / $3,400.00 / $3,727.56	Professional		$3,400.00	$3,400.00	$3,727.56