Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,330.10 / $2,330.10 / $2,330.10	Facility		$2,330.10	$2,330.10	$2,330.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,963.23 / $2,330.10 / $3,766.24	Professional		$1,963.23	$2,330.10	$3,766.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,625.42 / $9,517.21 / $40,506.99	Facility		$5,625.42	$9,517.21	$40,506.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,577.93 / $3,577.93 / $3,577.93	Professional		$3,577.93	$3,577.93	$3,577.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $5,432.90	Facility		$3,364.97	$3,364.97	$5,432.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $3,364.97 / $5,457.75	Professional		$2,456.42	$3,364.97	$5,457.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,001.63 / $4,986.64 / $6,319.81	Professional		$4,001.63	$4,986.64	$6,319.81
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 $6,120.14 / $6,120.14 / $6,120.14	Professional		$6,120.14	$6,120.14	$6,120.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,657.67 / $3,796.68 / $3,986.51	Professional		$2,657.67	$3,796.68	$3,986.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,792.38 / $2,348.67 / $4,031.88	Professional		$1,792.38	$2,348.67	$4,031.88