Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.94 / $2,171.94 / $2,171.94	Facility		$2,171.94	$2,171.94	$2,171.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.36 / $2,171.94 / $3,690.48	Professional		$1,783.36	$2,171.94	$3,690.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,243.82 / $8,871.62 / $37,757.48	Facility		$5,243.82	$8,871.62	$37,757.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,335.07 / $3,335.07 / $3,335.07	Professional		$3,335.07	$3,335.07	$3,335.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $4,656.78	Facility		$2,728.17	$2,728.17	$4,656.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $5,138.12	Professional		$1,991.56	$1,991.56	$5,138.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,730.01 / $4,837.58 / $6,143.55	Professional		$3,730.01	$4,837.58	$6,143.55
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 $5,704.73 / $5,704.73 / $5,704.73	Professional		$5,704.73	$5,704.73	$5,704.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,477.27 / $3,538.97 / $3,715.91	Professional		$2,477.27	$3,538.97	$3,715.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,656.68 / $2,189.23 / $3,876.56	Professional		$1,656.68	$2,189.23	$3,876.56