Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,849.21 / $2,849.21 / $2,849.21	Facility		$2,849.21	$2,849.21	$2,849.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,039.02 / $2,849.21 / $3,838.16	Professional		$2,039.02	$2,849.21	$3,838.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,878.34 / $11,636.94 / $49,531.29	Facility		$6,878.34	$11,636.94	$49,531.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,375.04 / $4,375.04 / $4,375.04	Professional		$4,375.04	$4,375.04	$4,375.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $5,359.65	Facility		$2,853.06	$2,853.06	$5,359.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,853.06 / $6,673.50	Professional		$2,082.73	$2,853.06	$6,673.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,691.92 / $5,756.63 / $7,296.21	Professional		$4,691.92	$5,756.63	$7,296.21
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 $7,483.62 / $7,483.62 / $7,483.62	Professional		$7,483.62	$7,483.62	$7,483.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,037.17 / $4,338.82 / $4,555.76	Professional		$3,037.17	$4,338.82	$4,555.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,983.04 / $2,871.92 / $5,385.02	Professional		$1,983.04	$2,871.92	$5,385.02