Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,489.74 / $1,489.74 / $1,489.74	Facility		$1,489.74	$1,489.74	$1,489.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.16 / $1,489.74 / $2,467.67	Professional		$1,255.16	$1,489.74	$2,467.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,596.58 / $6,084.78 / $25,897.97	Facility		$3,596.58	$6,084.78	$25,897.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,287.53 / $2,287.53 / $2,287.53	Professional		$2,287.53	$2,287.53	$2,287.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,711.28 / $1,711.28 / $4,016.71	Facility		$1,711.28	$1,711.28	$4,016.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,711.28 / $3,489.38	Professional		$1,249.23	$1,711.28	$3,489.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,558.42 / $3,142.69 / $3,983.05	Professional		$2,558.42	$3,142.69	$3,983.05
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 $3,912.88 / $3,912.88 / $3,912.88	Professional		$3,912.88	$3,912.88	$3,912.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,834.19 / $2,620.28 / $2,751.29	Professional		$1,834.19	$2,620.28	$2,751.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.74 / $1,501.61 / $2,829.67	Professional		$1,221.74	$1,501.61	$2,829.67