Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.81 / $1,600.81 / $1,600.81	Facility		$1,600.81	$1,600.81	$1,600.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.67 / $1,600.81 / $2,775.29	Professional		$1,230.67	$1,600.81	$2,775.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,865.29 / $6,539.39 / $27,828.84	Facility		$3,865.29	$6,539.39	$27,828.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,458.08 / $2,458.08 / $2,556.40	Professional		$2,458.08	$2,458.08	$2,556.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $3,434.81	Facility		$1,721.98	$1,721.98	$3,434.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $3,749.63	Professional		$1,257.05	$1,721.98	$3,749.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,749.17 / $3,557.75 / $4,528.05	Professional		$2,749.17	$3,557.75	$4,528.05
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 $4,204.62 / $4,204.62 / $4,204.62	Professional		$4,204.62	$4,204.62	$4,204.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,825.86 / $2,608.38 / $2,738.79	Professional		$1,825.86	$2,608.38	$2,738.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,234.32 / $4,409.26 / $8,193.87	Facility		$3,234.32	$4,409.26	$8,193.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,613.57 / $2,857.19	Professional		$1,145.70	$1,613.57	$2,857.19