Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.95 / $1,865.95 / $1,865.95	Facility		$1,865.95	$1,865.95	$1,865.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.36 / $1,865.95 / $3,186.26	Professional		$1,659.36	$1,865.95	$3,186.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,504.47 / $7,620.77 / $32,438.08	Facility		$4,504.47	$7,620.77	$32,438.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,865.22 / $2,865.22 / $2,865.22	Professional		$2,865.22	$2,865.22	$2,865.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,677.88 / $2,677.88 / $4,126.67	Facility		$2,677.88	$2,677.88	$4,126.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $2,677.88 / $4,370.63	Professional		$1,954.85	$2,677.88	$4,370.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,204.52 / $4,281.68 / $5,278.03	Professional		$3,204.52	$4,281.68	$5,278.03
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 $4,901.03 / $4,901.03 / $4,901.03	Professional		$4,901.03	$4,901.03	$4,901.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,297.39 / $3,281.99 / $3,446.08	Professional		$2,297.39	$3,281.99	$3,446.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.34 / $1,880.82 / $3,330.43	Professional		$1,435.34	$1,880.82	$3,330.43