Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.75 / $3,965.66 / $5,016.02	Facility		$1,757.75	$3,965.66	$5,016.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,286.16 / $1,757.75 / $2,572.32	Professional		$1,286.16	$1,757.75	$2,572.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,893.86 / $9,265.70 / $28,356.79	Facility		$2,893.86	$9,265.70	$28,356.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.08 / $1,650.57 / $1,650.57	Professional		$1,479.08	$1,650.57	$1,650.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.01 / $5,239.02 / $9,868.07	Facility		$2,090.01	$5,239.02	$9,868.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.82 / $2,463.13 / $3,289.36	Professional		$1,028.82	$2,463.13	$3,289.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,143.60 / $3,108.22 / $4,501.56	Professional		$2,143.60	$3,108.22	$4,501.56
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 $2,786.68 / $2,786.68 / $2,786.68	Professional		$2,786.68	$2,786.68	$2,786.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,071.80 / $2,679.50 / $3,215.40	Professional		$1,071.80	$2,679.50	$3,215.40
United Facility/Professional Professional Modifier Low / Median / High Price $331.16 / $1,053.68 / $2,143.60	Professional		$331.16	$1,053.68	$2,143.60