Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,522.19 / $2,522.19 / $2,522.19	Facility		$2,522.19	$2,522.19	$2,522.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.98 / $2,522.19 / $3,972.64	Professional		$1,767.98	$2,522.19	$3,972.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,726.60 / $24,537.50 / $53,519.39	Facility		$6,726.60	$24,537.50	$53,519.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,836.59 / $3,872.89 / $3,872.89	Professional		$2,836.59	$3,872.89	$3,872.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $5,169.77	Facility		$3,001.57	$3,001.57	$5,169.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $5,907.75	Professional		$2,191.15	$3,001.57	$5,907.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,492.72 / $5,456.88 / $6,476.58	Professional		$4,492.72	$5,456.88	$6,476.58
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 $6,624.68 / $6,624.68 / $6,624.68	Professional		$6,624.68	$6,624.68	$6,624.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,876.77 / $4,109.68 / $4,315.16	Professional		$2,876.77	$4,109.68	$4,315.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.14 / $2,542.29 / $4,364.26	Professional		$1,826.14	$2,542.29	$4,364.26