Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $1,499.00 / $3,028.63	Facility		$1,499.00	$1,499.00	$3,028.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.21 / $1,499.00 / $2,190.04	Professional		$1,062.21	$1,499.00	$2,190.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,618.84 / $6,122.44 / $26,059.04	Facility		$3,618.84	$6,122.44	$26,059.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,301.76 / $2,301.76 / $2,301.76	Professional		$2,301.76	$2,301.76	$2,301.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $2,616.44	Facility		$1,486.28	$1,486.28	$2,616.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,486.28 / $3,511.13	Professional		$1,084.98	$1,486.28	$3,511.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,422.90 / $3,028.63 / $3,755.50	Professional		$2,422.90	$3,028.63	$3,755.50
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 $3,937.22 / $3,937.22 / $3,937.22	Professional		$3,937.22	$3,937.22	$3,937.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,709.74 / $2,442.48 / $2,564.61	Professional		$1,709.74	$2,442.48	$2,564.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $998.32 / $1,510.95 / $2,593.80	Professional		$998.32	$1,510.95	$2,593.80