Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.08 / $1,982.08 / $1,982.08	Facility		$1,982.08	$1,982.08	$1,982.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.03 / $2,008.86 / $3,000.13	Professional		$1,549.03	$2,008.86	$3,000.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,607.82 / $7,795.62 / $33,180.76	Facility		$4,607.82	$7,795.62	$33,180.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,485.53 / $2,930.81 / $2,930.81	Professional		$2,485.53	$2,930.81	$2,930.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $4,221.10	Facility		$2,326.75	$2,326.75	$4,221.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,326.75 / $4,470.75	Professional		$1,698.53	$2,326.75	$4,470.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,277.88 / $4,241.96 / $5,206.00	Professional		$3,277.88	$4,241.96	$5,206.00
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 $5,013.22 / $5,013.22 / $5,013.22	Professional		$5,013.22	$5,013.22	$5,013.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,034.58 / $2,906.55 / $3,051.87	Professional		$2,034.58	$2,906.55	$3,051.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,432.22 / $1,914.43 / $3,302.66	Professional		$1,432.22	$1,914.43	$3,302.66