Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.15 / $2,011.15 / $2,011.15	Facility		$2,011.15	$2,011.15	$2,011.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,771.11 / $2,024.86 / $3,333.85	Professional		$1,771.11	$2,024.86	$3,333.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,855.85 / $8,215.26 / $34,962.18	Facility		$4,855.85	$8,215.26	$34,962.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,088.18 / $3,088.18 / $3,088.18	Professional		$3,088.18	$3,088.18	$3,088.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,282.71 / $2,282.71 / $4,443.21	Facility		$2,282.71	$2,282.71	$4,443.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $4,757.85	Professional		$1,666.39	$1,666.39	$4,757.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,453.88 / $4,363.54 / $5,586.62	Professional		$3,453.88	$4,363.54	$5,586.62
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 $5,282.41 / $5,282.41 / $5,282.41	Professional		$5,282.41	$5,282.41	$5,282.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,476.15 / $3,537.37 / $3,714.23	Professional		$2,476.15	$3,537.37	$3,714.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,629.72 / $2,027.18 / $3,589.58	Professional		$1,629.72	$2,027.18	$3,589.58