Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.55 / $2,300.55 / $2,300.55	Facility		$2,300.55	$2,300.55	$2,300.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,971.56 / $2,344.79 / $3,504.99	Professional		$1,971.56	$2,344.79	$3,504.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,553.87 / $9,396.17 / $39,993.36	Facility		$5,553.87	$9,396.17	$39,993.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,532.56 / $3,532.56 / $3,532.56	Professional		$3,532.56	$3,532.56	$3,532.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $4,913.17	Facility		$3,006.81	$3,006.81	$4,913.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $3,006.81 / $5,388.75	Professional		$2,194.96	$3,006.81	$5,388.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,950.89 / $5,195.78 / $6,507.35	Professional		$3,950.89	$5,195.78	$6,507.35
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 $6,042.54 / $6,042.54 / $6,042.54	Professional		$6,042.54	$6,042.54	$6,042.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,452.32 / $3,503.32 / $3,678.48	Professional		$2,452.32	$3,503.32	$3,678.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.47 / $2,318.89 / $3,980.76	Professional		$1,733.47	$2,318.89	$3,980.76