Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,323.38 / $3,323.38 / $3,323.38	Facility		$3,323.38	$3,323.38	$3,323.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,708.91 / $3,430.63 / $5,336.12	Professional		$2,708.91	$3,430.63	$5,336.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,023.14 / $13,573.74 / $57,774.30	Facility		$8,023.14	$13,573.74	$57,774.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,103.13 / $5,103.13 / $5,103.13	Professional		$5,103.13	$5,103.13	$5,103.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $7,497.68	Facility		$3,790.37	$3,790.37	$7,497.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,790.37 / $7,784.25	Professional		$2,766.97	$3,790.37	$7,784.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,707.45 / $7,267.82 / $9,304.95	Professional		$5,707.45	$7,267.82	$9,304.95
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 $8,729.04 / $8,729.04 / $8,729.04	Professional		$8,729.04	$8,729.04	$8,729.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,790.59 / $5,415.14 / $5,685.89	Professional		$3,790.59	$5,415.14	$5,685.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,534.55 / $3,349.87 / $5,750.60	Professional		$2,534.55	$3,349.87	$5,750.60