Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,852.04 / $2,852.04 / $2,852.04	Facility		$2,852.04	$2,852.04	$2,852.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,438.50 / $2,852.04 / $4,638.02	Professional		$2,438.50	$2,852.04	$4,638.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,606.31 / $27,746.55 / $60,518.74	Facility		$7,606.31	$27,746.55	$60,518.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,379.39 / $4,379.39 / $4,379.39	Professional		$4,379.39	$4,379.39	$4,379.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $6,444.30	Facility		$3,728.42	$3,728.42	$6,444.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,728.42 / $6,680.25	Professional		$2,721.75	$3,728.42	$6,680.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,186.13 / $6,383.85 / $7,633.25	Professional		$5,186.13	$6,383.85	$7,633.25
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 $7,491.07 / $7,491.07 / $7,491.07	Professional		$7,491.07	$7,491.07	$7,491.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,040.19 / $4,343.13 / $4,560.28	Professional		$3,040.19	$4,343.13	$4,560.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,135.42 / $2,874.78 / $5,090.46	Professional		$2,135.42	$2,874.78	$5,090.46