Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,248.07	Facility		$2,511.89	$2,511.89	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,466.84	Professional		$1,949.84	$2,511.89	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $8,317.64 / $50,118.72	Facility		$6,309.57	$8,317.64	$50,118.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $3,890.45	Professional		$2,818.38	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $5,248.07	Facility		$3,019.95	$3,019.95	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $5,128.61	Professional		$2,187.76	$2,187.76	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $6,918.31	Professional		$4,365.16	$5,495.41	$6,918.31
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 $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,073.80	Professional		$2,884.03	$2,884.03	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $6,456.54	Facility		$2,630.27	$4,073.80	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,890.45	Professional		$1,819.70	$2,570.40	$3,890.45