Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,557.67 / $2,557.67 / $2,557.67	Facility		$2,557.67	$2,557.67	$2,557.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,882.25 / $2,557.67 / $3,839.99	Professional		$1,882.25	$2,557.67	$3,839.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,173.97 / $10,445.27 / $44,463.01	Facility		$6,173.97	$10,445.27	$44,463.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,927.37 / $3,927.37 / $3,927.37	Professional		$3,927.37	$3,927.37	$3,927.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $5,411.99	Facility		$3,249.00	$3,249.00	$5,411.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $5,990.63	Professional		$2,371.77	$3,249.00	$5,990.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,353.43 / $5,341.52 / $6,717.87	Professional		$4,353.43	$5,341.52	$6,717.87
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 $6,717.87 / $6,717.87 / $6,717.87	Professional		$6,717.87	$6,717.87	$6,717.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,917.25 / $4,167.50 / $4,375.87	Professional		$2,917.25	$4,167.50	$4,375.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,830.57 / $2,578.06 / $4,425.66	Professional		$1,830.57	$2,578.06	$4,425.66