Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,724.51 / $1,724.51 / $1,724.51	Facility		$1,724.51	$1,724.51	$1,724.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.64 / $1,724.51 / $2,448.26	Professional		$1,300.64	$1,724.51	$2,448.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,162.62 / $7,042.42 / $29,979.26	Facility		$4,162.62	$7,042.42	$29,979.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,648.04 / $2,648.04 / $2,648.04	Professional		$2,648.04	$2,648.04	$2,648.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $3,439.00	Facility		$1,819.89	$1,819.89	$3,439.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $4,039.50	Professional		$1,328.52	$1,819.89	$4,039.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,961.62 / $3,741.35 / $4,741.58	Professional		$2,961.62	$3,741.35	$4,741.58
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 $4,529.54 / $4,529.54 / $4,529.54	Professional		$4,529.54	$4,529.54	$4,529.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,838.28 / $2,626.12 / $2,757.42	Professional		$1,838.28	$2,626.12	$2,757.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,216.92 / $1,738.26 / $2,910.10	Professional		$1,216.92	$1,738.26	$2,910.10