Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,865.63 / $2,865.63 / $2,865.63	Facility		$2,865.63	$2,865.63	$2,865.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,414.42 / $2,865.63 / $4,682.35	Professional		$2,414.42	$2,865.63	$4,682.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.09 / $11,704.19 / $49,816.81	Facility		$6,918.09	$11,704.19	$49,816.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,400.26 / $4,400.26 / $4,400.26	Professional		$4,400.26	$4,400.26	$4,400.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $7,621.60	Facility		$3,745.37	$3,745.37	$7,621.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $7,114.85	Professional		$2,734.12	$2,734.12	$7,114.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,921.34 / $6,464.77 / $8,105.73	Professional		$4,921.34	$6,464.77	$8,105.73
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 $7,526.75 / $7,526.75 / $7,526.75	Professional		$7,526.75	$7,526.75	$7,526.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,268.49 / $4,669.28 / $4,902.74	Professional		$3,268.49	$4,669.28	$4,902.74
United Facility/Professional Professional Modifier Low / Median / High Price $2,167.94 / $2,888.47 / $6,017.65	Professional		$2,167.94	$2,888.47	$6,017.65