Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,018.19 / $2,018.19 / $2,018.19	Facility		$2,018.19	$2,018.19	$2,018.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,480.43 / $2,018.19 / $2,855.36	Professional		$1,480.43	$2,018.19	$2,855.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,871.76 / $8,242.16 / $35,084.62	Facility		$4,871.76	$8,242.16	$35,084.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,637.76 / $2,637.76 / $4,024.27	Facility		$2,637.76	$2,637.76	$4,024.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,925.56 / $2,637.76 / $4,727.25	Professional		$1,925.56	$2,637.76	$4,727.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,414.04 / $4,188.91 / $5,300.89	Professional		$3,414.04	$4,188.91	$5,300.89
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 $5,300.89 / $5,300.89 / $5,300.89	Professional		$5,300.89	$5,300.89	$5,300.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,301.92 / $3,288.46 / $3,452.88	Professional		$2,301.92	$3,288.46	$3,452.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,529.12 / $2,034.28 / $3,571.91	Professional		$1,529.12	$2,034.28	$3,571.91