Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.27 / $1,655.27 / $1,655.27	Facility		$1,655.27	$1,655.27	$1,655.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.23 / $1,655.27 / $2,576.40	Professional		$1,284.23	$1,655.27	$2,576.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,847.80 / $6,509.80 / $27,709.92	Facility		$3,847.80	$6,509.80	$27,709.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,981.36 / $2,447.58 / $2,447.58	Professional		$1,981.36	$2,447.58	$2,447.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.81 / $1,815.81 / $3,410.50	Facility		$1,815.81	$1,815.81	$3,410.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $3,733.50	Professional		$1,325.54	$1,815.81	$3,733.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.43 / $3,698.41 / $4,584.39	Professional		$2,737.43	$3,698.41	$4,584.39
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 $4,186.64 / $4,186.64 / $4,186.64	Professional		$4,186.64	$4,186.64	$4,186.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,699.11 / $2,427.30 / $2,548.66	Professional		$1,699.11	$2,427.30	$2,548.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.11 / $1,606.67 / $2,844.97	Professional		$1,208.11	$1,606.67	$2,844.97