Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.81 / $1,751.81 / $1,751.81	Facility		$1,751.81	$1,751.81	$1,751.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.50 / $1,751.81 / $2,549.69	Professional		$1,288.50	$1,751.81	$2,549.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,229.39 / $7,155.40 / $30,453.91	Facility		$4,229.39	$7,155.40	$30,453.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,689.96 / $2,689.96 / $2,689.96	Professional		$2,689.96	$2,689.96	$2,689.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.62 / $2,289.62 / $3,708.89	Facility		$2,289.62	$2,289.62	$3,708.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $4,144.28	Professional		$1,671.42	$1,671.42	$4,144.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,856.03 / $3,539.42 / $4,424.64	Professional		$2,856.03	$3,539.42	$4,424.64
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 $4,601.25 / $4,601.25 / $4,601.25	Professional		$4,601.25	$4,601.25	$4,601.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,998.09 / $2,854.42 / $2,997.14	Professional		$1,998.09	$2,854.42	$2,997.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,347.55 / $1,765.78 / $3,126.71	Professional		$1,347.55	$1,765.78	$3,126.71