Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,520.36 / $2,520.36 / $2,520.36	Facility		$2,520.36	$2,520.36	$2,520.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,219.53 / $2,520.36 / $4,177.93	Professional		$2,219.53	$2,520.36	$4,177.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,084.93 / $10,294.62 / $43,814.50	Facility		$6,084.93	$10,294.62	$43,814.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,870.09 / $3,870.09 / $3,870.09	Professional		$3,870.09	$3,870.09	$3,870.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $5,573.94	Facility		$3,294.10	$3,294.10	$5,573.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $3,294.10 / $5,903.25	Professional		$2,404.69	$3,294.10	$5,903.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,542.56 / $5,573.56 / $7,063.93	Professional		$4,542.56	$5,573.56	$7,063.93
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 $6,619.89 / $6,619.89 / $6,619.89	Professional		$6,619.89	$6,619.89	$6,619.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,103.12 / $4,433.03 / $4,654.68	Professional		$3,103.12	$4,433.03	$4,654.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,051.16 / $2,540.44 / $4,852.26	Professional		$2,051.16	$2,540.44	$4,852.26