Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.39 / $1,992.39 / $1,992.39	Facility		$1,992.39	$1,992.39	$1,992.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,537.38 / $1,992.39 / $3,101.11	Professional		$1,537.38	$1,992.39	$3,101.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,631.67 / $7,835.97 / $33,353.33	Facility		$4,631.67	$7,835.97	$33,353.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,507.59 / $2,507.59 / $4,015.28	Facility		$2,507.59	$2,507.59	$4,015.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $2,507.59 / $4,494.00	Professional		$1,830.54	$2,507.59	$4,494.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,770.24 / $3,854.90 / $4,651.67	Professional		$2,770.24	$3,854.90	$4,651.67
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 $5,039.31 / $5,039.31 / $5,039.31	Professional		$5,039.31	$5,039.31	$5,039.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,045.16 / $2,921.67 / $3,067.75	Professional		$2,045.16	$2,921.67	$3,067.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,468.71 / $1,916.64 / $3,416.61	Professional		$1,468.71	$1,916.64	$3,416.61