Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,273.67 / $2,273.67 / $2,273.67	Facility		$2,273.67	$2,273.67	$2,273.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,807.98 / $2,273.67 / $3,675.06	Professional		$1,807.98	$2,273.67	$3,675.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,488.68 / $9,285.87 / $39,526.23	Facility		$5,488.68	$9,285.87	$39,526.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,491.30 / $3,491.30 / $3,491.30	Professional		$3,491.30	$3,491.30	$3,491.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $5,234.93	Facility		$2,550.04	$2,550.04	$5,234.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $5,325.75	Professional		$1,861.53	$2,550.04	$5,325.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,904.75 / $4,945.57 / $6,267.75	Professional		$3,904.75	$4,945.57	$6,267.75
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 $5,971.97 / $5,971.97 / $5,971.97	Professional		$5,971.97	$5,971.97	$5,971.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,423.67 / $3,462.40 / $3,635.52	Professional		$2,423.67	$3,462.40	$3,635.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,593.82 / $6,529.56 / $12,134.10	Facility		$4,593.82	$6,529.56	$12,134.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,705.15 / $2,291.81 / $3,934.27	Professional		$1,705.15	$2,291.81	$3,934.27