Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $5,248.07	Facility		$2,511.89	$3,801.89	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,548.13	Professional		$2,511.89	$2,511.89	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,248.07 / $27,542.29	Facility		$3,019.95	$5,248.07	$27,542.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $3,090.30	Professional		$2,691.53	$3,090.30	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,311.31	Professional		$2,511.89	$2,511.89	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,388.44 / $5,128.61	Professional		$2,137.96	$3,388.44	$5,128.61
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 $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $3,890.45	Professional		$2,691.53	$3,548.13	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $4,365.16	Facility		$2,511.89	$2,630.27	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $2,951.21	Professional		$2,511.89	$2,691.53	$2,951.21