Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.68 / $1,760.68 / $1,760.68	Facility		$1,760.68	$1,760.68	$1,760.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,566.87 / $1,850.48 / $2,849.16	Professional		$1,566.87	$1,850.48	$2,849.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,250.07 / $7,190.37 / $30,608.17	Facility		$4,250.07	$7,190.37	$30,608.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,703.58 / $2,703.58 / $2,703.58	Professional		$2,703.58	$2,703.58	$2,703.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $4,140.47	Facility		$2,117.90	$2,117.90	$4,140.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $4,165.10	Professional		$1,546.07	$1,546.07	$4,165.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,023.74 / $4,028.04 / $4,980.28	Professional		$3,023.74	$4,028.04	$4,980.28
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 $4,624.54 / $4,624.54 / $4,624.54	Professional		$4,624.54	$4,624.54	$4,624.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,008.21 / $2,868.88 / $3,012.32	Professional		$2,008.21	$2,868.88	$3,012.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,416.20 / $1,774.72 / $3,116.16	Professional		$1,416.20	$1,774.72	$3,116.16