Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,269.75 / $2,269.75 / $2,269.75	Facility		$2,269.75	$2,269.75	$2,269.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,987.32 / $2,347.01 / $3,865.63	Professional		$1,987.32	$2,347.01	$3,865.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.14 / $9,269.74 / $39,457.78	Facility		$5,479.14	$9,269.74	$39,457.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,485.26 / $3,485.26 / $3,923.71	Professional		$3,485.26	$3,485.26	$3,923.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $5,448.11	Facility		$2,780.72	$2,780.72	$5,448.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,780.72 / $5,316.38	Professional		$2,029.93	$2,780.72	$5,316.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,897.99 / $5,273.75 / $6,420.22	Professional		$3,897.99	$5,273.75	$6,420.22
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 $5,961.63 / $5,961.63 / $5,961.63	Professional		$5,961.63	$5,961.63	$5,961.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,794.56 / $3,992.23 / $4,191.84	Professional		$2,794.56	$3,992.23	$4,191.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,850.11 / $2,287.84 / $4,051.14	Professional		$1,850.11	$2,287.84	$4,051.14