Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,808.20 / $2,808.20 / $2,808.20	Facility		$2,808.20	$2,808.20	$2,808.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,047.29 / $2,808.20 / $4,080.53	Professional		$2,047.29	$2,808.20	$4,080.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,779.76 / $11,470.16 / $48,818.32	Facility		$6,779.76	$11,470.16	$48,818.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,312.07 / $4,312.07 / $4,527.67	Professional		$4,312.07	$4,312.07	$4,527.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,670.30 / $3,670.30 / $5,751.00	Facility		$3,670.30	$3,670.30	$5,751.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,670.30 / $6,577.50	Professional		$2,679.32	$3,670.30	$6,577.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,709.72 / $5,778.67 / $7,323.89	Professional		$4,709.72	$5,778.67	$7,323.89
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 $7,375.90 / $7,375.90 / $7,375.90	Professional		$7,375.90	$7,375.90	$7,375.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,202.99 / $4,575.70 / $4,804.48	Professional		$3,202.99	$4,575.70	$4,804.48
United Facility/Professional Professional Modifier Low / Median / High Price $2,160.15 / $2,830.58 / $5,012.18	Professional		$2,160.15	$2,830.58	$5,012.18