Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,038.78 / $2,038.78 / $2,038.78	Facility		$2,038.78	$2,038.78	$2,038.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.85 / $2,038.78 / $3,128.41	Professional		$1,620.85	$2,038.78	$3,128.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,922.64 / $8,328.24 / $35,442.69	Facility		$4,922.64	$8,328.24	$35,442.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,130.61 / $3,130.61 / $3,130.61	Professional		$3,130.61	$3,130.61	$3,130.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $4,409.09	Facility		$2,160.07	$2,160.07	$4,409.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $4,775.25	Professional		$1,576.85	$2,160.07	$4,775.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,501.34 / $4,325.18 / $5,455.34	Professional		$3,501.34	$4,325.18	$5,455.34
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 $5,354.99 / $5,354.99 / $5,354.99	Professional		$5,354.99	$5,354.99	$5,354.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,325.41 / $3,322.02 / $3,488.12	Professional		$2,325.41	$3,322.02	$3,488.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,542.15 / $2,055.04 / $3,853.32	Professional		$1,542.15	$2,055.04	$3,853.32