Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.26 / $2,171.26 / $2,171.26	Facility		$2,171.26	$2,171.26	$2,171.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,912.12 / $2,171.26 / $3,599.30	Professional		$1,912.12	$2,171.26	$3,599.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,242.22 / $8,868.93 / $37,745.74	Facility		$5,242.22	$8,868.93	$37,745.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,334.03 / $3,334.03 / $3,334.03	Professional		$3,334.03	$3,334.03	$3,334.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $4,801.93	Facility		$2,448.80	$2,448.80	$4,801.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $5,085.75	Professional		$1,787.62	$2,448.80	$5,085.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,728.85 / $5,044.91 / $6,141.63	Professional		$3,728.85	$5,044.91	$6,141.63
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 $5,702.94 / $5,702.94 / $5,702.94	Professional		$5,702.94	$5,702.94	$5,702.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,673.30 / $3,819.00 / $4,009.95	Professional		$2,673.30	$3,819.00	$4,009.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,670.20 / $2,188.57 / $3,875.36	Professional		$1,670.20	$2,188.57	$3,875.36