Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.63 / $2,134.63 / $2,134.63	Facility		$2,134.63	$2,134.63	$2,134.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.66 / $2,183.67 / $4,022.85	Professional		$1,761.66	$2,183.67	$4,022.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,153.18 / $8,718.29 / $37,108.96	Facility		$5,153.18	$8,718.29	$37,108.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,277.78 / $3,277.78 / $3,277.78	Professional		$3,277.78	$3,277.78	$3,277.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $4,339.32	Facility		$2,481.10	$2,481.10	$4,339.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $4,999.88	Professional		$1,811.20	$2,481.10	$4,999.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,665.94 / $4,809.37 / $6,038.02	Professional		$3,665.94	$4,809.37	$6,038.02
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 $5,606.73 / $5,606.73 / $5,606.73	Professional		$5,606.73	$5,606.73	$5,606.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,434.72 / $3,478.18 / $3,652.08	Professional		$2,434.72	$3,478.18	$3,652.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.65 / $2,749.17 / $4,312.87	Facility		$2,600.65	$2,749.17	$4,312.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,648.27 / $2,151.64 / $3,693.65	Professional		$1,648.27	$2,151.64	$3,693.65