Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $3,207.12 / $5,450.06	Facility		$2,698.05	$3,207.12	$5,450.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,237.66	Professional		$2,698.05	$2,698.05	$3,237.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,018.75 / $10,696.57 / $51,012.27	Facility		$7,018.75	$10,696.57	$51,012.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,003.03 / $3,003.03 / $3,436.00	Professional		$3,003.03	$3,003.03	$3,436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Facility		$2,698.05	$2,698.05	$2,698.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,188.79	Professional		$2,698.05	$2,698.05	$3,188.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,522.67 / $3,777.27 / $6,951.95	Professional		$2,522.67	$3,777.27	$6,951.95
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 $3,507.47 / $3,507.47 / $3,507.47	Professional		$3,507.47	$3,507.47	$3,507.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,658.13 / $3,721.38 / $3,987.20	Professional		$2,658.13	$3,721.38	$3,987.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,859.93 / $3,021.82	Professional		$2,698.05	$2,859.93	$3,021.82