Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.51 / $1,894.51 / $1,894.51	Facility		$1,894.51	$1,894.51	$1,894.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,611.00 / $1,894.51 / $2,671.24	Professional		$1,611.00	$1,894.51	$2,671.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.43 / $7,739.13 / $32,934.57	Facility		$4,574.43	$7,739.13	$32,934.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,909.07 / $2,909.07 / $2,909.07	Professional		$2,909.07	$2,909.07	$2,909.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.09 / $2,476.09 / $3,679.93	Facility		$2,476.09	$2,476.09	$3,679.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.55 / $2,476.09 / $4,437.38	Professional		$1,807.55	$2,476.09	$4,437.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,253.56 / $4,059.36 / $5,144.60	Professional		$3,253.56	$4,059.36	$5,144.60
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 $4,976.04 / $4,976.04 / $4,976.04	Professional		$4,976.04	$4,976.04	$4,976.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,160.84 / $3,086.92 / $3,241.26	Professional		$2,160.84	$3,086.92	$3,241.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.13 / $1,909.60 / $3,381.39	Professional		$1,380.13	$1,909.60	$3,381.39