Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.24 / $1,680.24 / $1,680.24	Facility		$1,680.24	$1,680.24	$1,680.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.39 / $1,680.24 / $2,442.48	Professional		$1,264.39	$1,680.24	$2,442.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,056.09 / $6,862.19 / $29,209.70	Facility		$4,056.09	$6,862.19	$29,209.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,580.06 / $2,580.06 / $2,580.06	Professional		$2,580.06	$2,580.06	$2,580.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,769.18 / $1,769.18 / $3,442.37	Facility		$1,769.18	$1,769.18	$3,442.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.50 / $1,769.17 / $3,935.63	Professional		$1,291.50	$1,769.17	$3,935.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,760.45 / $3,394.81 / $4,276.56	Professional		$2,760.45	$3,394.81	$4,276.56
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 $4,413.25 / $4,413.25 / $4,413.25	Professional		$4,413.25	$4,413.25	$4,413.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,916.45 / $2,737.79 / $2,874.67	Professional		$1,916.45	$2,737.79	$2,874.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,183.01 / $1,693.63 / $2,907.39	Professional		$1,183.01	$1,693.63	$2,907.39