Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.16 / $1,440.16 / $1,440.16	Facility		$1,440.16	$1,440.16	$1,440.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.56 / $1,550.94 / $2,400.76	Professional		$1,323.56	$1,550.94	$2,400.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,477.33 / $5,883.03 / $25,036.01	Facility		$3,477.33	$5,883.03	$25,036.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $3,343.78	Facility		$2,050.41	$2,050.41	$3,343.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $3,406.86	Professional		$1,496.80	$1,496.80	$3,406.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,473.28 / $3,481.36 / $4,249.84	Professional		$2,473.28	$3,481.36	$4,249.84
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 $3,782.66 / $3,782.66 / $3,782.66	Professional		$3,782.66	$3,782.66	$3,782.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,773.14 / $2,533.07 / $2,659.72	Professional		$1,773.14	$2,533.07	$2,659.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.08 / $1,451.63 / $3,404.06	Professional		$1,274.08	$1,451.63	$3,404.06