Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,754.40	Facility		$2,818.38	$2,818.38	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $5,011.87	Professional		$1,995.26	$2,818.38	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,964.78 / $38,904.51	Facility		$6,760.83	$10,964.78	$38,904.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $5,888.44	Facility		$3,630.78	$3,630.78	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $5,754.40	Professional		$2,691.53	$2,691.53	$5,754.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $7,244.36	Professional		$4,677.35	$5,754.40	$7,244.36
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 $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,570.88	Professional		$3,235.94	$3,235.94	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $7,413.10	Facility		$3,019.95	$4,570.88	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,265.80	Professional		$2,041.74	$2,818.38	$4,265.80