Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,537.62 / $2,537.62 / $4,937.18	Facility		$2,537.62	$2,537.62	$4,937.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,983.18 / $2,537.62 / $3,949.75	Professional		$1,983.18	$2,537.62	$3,949.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,898.90 / $9,979.90 / $42,480.60	Facility		$5,898.90	$9,979.90	$42,480.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,182.17 / $3,752.26 / $3,752.26	Professional		$3,182.17	$3,752.26	$3,752.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $5,404.22	Facility		$2,756.64	$2,756.64	$5,404.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $6,067.04	Professional		$2,012.35	$2,012.35	$6,067.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,196.60 / $6,147.58 / $7,795.63	Professional		$4,196.60	$6,147.58	$7,795.63
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 $6,418.35 / $6,418.35 / $6,418.35	Professional		$6,418.35	$6,418.35	$6,418.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,787.16 / $3,981.67 / $4,180.75	Professional		$2,787.16	$3,981.67	$4,180.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,823.45 / $2,463.11 / $4,324.88	Professional		$1,823.45	$2,463.11	$4,324.88