Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,543.89 / $3,155.87 / $5,138.66	Facility		$2,543.89	$3,155.87	$5,138.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,543.89 / $2,608.16 / $2,868.97	Professional		$2,543.89	$2,608.16	$2,868.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,950.40 / $6,950.50 / $32,049.33	Facility		$2,950.40	$6,950.50	$32,049.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,718.55 / $3,070.19 / $3,070.19	Professional		$2,718.55	$3,070.19	$3,070.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,608.16	Facility		$2,608.16	$2,608.16	$2,608.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,444.74	Professional		$2,608.16	$2,608.16	$3,444.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,086.53 / $3,305.43 / $5,290.11	Professional		$2,086.53	$3,305.43	$5,290.11
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 $3,390.61 / $3,390.61 / $3,390.61	Professional		$3,390.61	$3,390.61	$3,390.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,673.43 / $3,742.80 / $4,010.15	Professional		$2,673.43	$3,742.80	$4,010.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,673.43 / $4,411.16 / $4,411.16	Facility		$2,673.43	$4,411.16	$4,411.16
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,764.65 / $3,103.71	Professional		$2,608.16	$2,764.65	$3,103.71