Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.24 / $1,485.24 / $1,485.24	Facility		$1,485.24	$1,485.24	$1,485.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.19 / $1,485.24 / $2,133.94	Professional		$1,018.19	$1,485.24	$2,133.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.45 / $6,065.95 / $25,819.78	Facility		$3,585.45	$6,065.95	$25,819.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,280.62 / $2,280.62 / $2,280.62	Professional		$2,280.62	$2,280.62	$2,280.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $3,007.51	Facility		$1,424.68	$1,424.68	$3,007.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $3,513.66	Professional		$1,040.02	$1,040.02	$3,513.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,400.66 / $2,878.41 / $3,497.35	Professional		$2,400.66	$2,878.41	$3,497.35
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 $3,901.07 / $3,901.07 / $3,901.07	Professional		$3,901.07	$3,901.07	$3,901.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,694.04 / $2,420.07 / $2,541.07	Professional		$1,694.04	$2,420.07	$2,541.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.13 / $1,497.08 / $2,569.98	Professional		$1,017.13	$1,497.08	$2,569.98