Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,890.45	Facility		$1,905.46	$1,905.46	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,715.35	Professional		$1,445.44	$1,995.26	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $26,302.68	Facility		$4,570.88	$7,413.10	$26,302.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,073.80	Facility		$2,454.71	$2,454.71	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,981.07	Professional		$1,819.70	$1,819.70	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $5,011.87	Professional		$3,235.94	$3,981.07	$5,011.87
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 $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,884.03	Professional		$2,041.74	$2,041.74	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,370.32	Facility		$2,187.76	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,884.03	Professional		$1,445.44	$1,905.46	$2,884.03