Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $3,019.95	Facility		$1,445.44	$1,445.44	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,019.95	Professional		$1,288.25	$1,584.89	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,754.40 / $20,417.38	Facility		$3,548.13	$5,754.40	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,981.07	Facility		$1,905.46	$1,905.46	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $3,388.44	Professional		$1,380.38	$1,380.38	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $4,570.88	Professional		$2,511.89	$3,715.35	$4,570.88
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 $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,570.40	Professional		$1,778.28	$1,778.28	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $4,786.30	Facility		$1,949.84	$2,344.23	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,454.71	Professional		$1,230.27	$1,479.11	$2,454.71