Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,899.67 / $1,899.67 / $1,899.67	Facility		$1,899.67	$1,899.67	$1,899.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.41 / $1,988.34 / $2,856.51	Professional		$1,478.41	$1,988.34	$2,856.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,585.56 / $7,757.96 / $33,024.26	Facility		$4,585.56	$7,757.96	$33,024.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,916.99 / $2,916.99 / $2,916.99	Professional		$2,916.99	$2,916.99	$2,916.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $4,025.89	Facility		$2,482.86	$2,482.86	$4,025.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,482.86 / $4,449.75	Professional		$1,812.49	$2,482.86	$4,449.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,254.13 / $3,977.74 / $4,990.38	Professional		$3,254.13	$3,977.74	$4,990.38
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 $4,989.60 / $4,989.60 / $4,989.60	Professional		$4,989.60	$4,989.60	$4,989.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,024.99 / $2,892.85 / $3,037.49	Professional		$2,024.99	$2,892.85	$3,037.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.50 / $2,307.14 / $3,838.15	Facility		$2,182.50	$2,307.14	$3,838.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.28 / $1,914.82 / $3,816.52	Professional		$1,461.28	$1,914.82	$3,816.52