Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,007.82 / $3,917.70 / $6,390.74	Facility		$2,007.82	$3,917.70	$6,390.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.39 / $2,007.82 / $2,326.13	Professional		$1,885.39	$2,007.82	$2,326.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,864.81 / $3,427.98 / $4,333.95	Facility		$2,864.81	$3,427.98	$4,333.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $3,721.81	Professional		$2,448.56	$2,448.56	$3,721.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,750.21 / $5,856.94 / $11,272.27	Facility		$2,750.21	$5,856.94	$11,272.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,938.27 / $2,982.60 / $3,573.49	Professional		$2,938.27	$2,982.60	$3,573.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $3,427.98 / $5,141.97	Professional		$2,448.56	$3,427.98	$5,141.97
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 $3,183.13 / $3,183.13 / $3,183.13	Professional		$3,183.13	$3,183.13	$3,183.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,330.04 / $3,330.04 / $3,672.84	Professional		$3,330.04	$3,330.04	$3,672.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $2,448.56	Professional		$1,028.40	$1,469.14	$2,448.56