Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,168.69	Facility		$1,995.26	$1,995.26	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,981.07	Professional		$1,445.44	$1,995.26	$3,981.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,943.28 / $28,183.83	Facility		$4,897.79	$7,943.28	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $4,073.80	Facility		$2,630.27	$2,630.27	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,168.69	Professional		$1,905.46	$1,905.46	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $5,370.32	Professional		$3,388.44	$4,168.69	$5,370.32
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 $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,311.31	Professional		$2,290.87	$2,290.87	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $5,370.32	Facility		$2,187.76	$3,235.94	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,019.95	Professional		$1,479.11	$2,041.74	$3,019.95