Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,967.69 / $1,967.69 / $1,967.69	Facility		$1,967.69	$1,967.69	$1,967.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.38 / $1,967.69 / $2,912.45	Professional		$1,371.38	$1,967.69	$2,912.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,750.92 / $8,037.72 / $34,206.83	Facility		$4,750.92	$8,037.72	$34,206.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,021.44 / $3,021.44 / $3,021.44	Professional		$3,021.44	$3,021.44	$3,021.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.77 / $2,571.77 / $3,670.96	Facility		$2,571.77	$2,571.77	$3,670.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $4,608.75	Professional		$1,877.39	$2,571.77	$4,608.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,180.46 / $3,975.58 / $4,929.72	Professional		$3,180.46	$3,975.58	$4,929.72
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 $5,168.25 / $5,168.25 / $5,168.25	Professional		$5,168.25	$5,168.25	$5,168.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,097.50 / $2,996.43 / $3,146.25	Professional		$2,097.50	$2,996.43	$3,146.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.25 / $1,983.38 / $3,512.02	Professional		$1,322.25	$1,983.38	$3,512.02