Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,599.06 / $2,599.06 / $2,599.06	Facility		$2,599.06	$2,599.06	$2,599.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,127.77 / $2,599.06 / $4,406.08	Professional		$2,127.77	$2,599.06	$4,406.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,931.62 / $25,285.36 / $55,150.58	Facility		$6,931.62	$25,285.36	$55,150.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $6,215.41	Facility		$3,323.97	$3,323.97	$6,215.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $3,323.97 / $6,087.75	Professional		$2,426.50	$3,323.97	$6,087.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,628.43 / $5,678.94 / $7,197.49	Professional		$4,628.43	$5,678.94	$7,197.49
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 $6,826.60 / $6,826.60 / $6,826.60	Professional		$6,826.60	$6,826.60	$6,826.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,200.02 / $4,571.46 / $4,800.03	Professional		$3,200.02	$4,571.46	$4,800.03
United Facility/Professional Professional Modifier Low / Median / High Price $2,144.89 / $2,619.78 / $4,599.97	Professional		$2,144.89	$2,619.78	$4,599.97