Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,007.82 / $3,582.24 / $5,729.63	Facility		$2,007.82	$3,582.24	$5,729.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.93 / $2,007.82 / $2,938.27	Professional		$1,609.93	$2,007.82	$2,938.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,232.09 / $10,105.69 / $35,690.43	Facility		$3,232.09	$10,105.69	$35,690.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $1,689.51 / $1,885.39	Professional		$3.50	$1,689.51	$1,885.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,372.52 / $5,984.41 / $11,272.27	Facility		$3,372.52	$5,984.41	$11,272.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.69 / $2,718.88 / $4,133.17	Professional		$1,101.69	$2,718.88	$4,133.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,497.53 / $3,917.70 / $6,431.35	Professional		$2,497.53	$3,917.70	$6,431.35
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 Facility Modifier Low / Median / High Price $1,028.40 / $4,897.12 / $4,897.12	Facility		$1,028.40	$4,897.12	$4,897.12
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