Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,090.30	Facility		$1,513.56	$1,513.56	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,691.53	Professional		$1,000.00	$1,513.56	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,888.44 / $20,892.96	Facility		$3,630.78	$5,888.44	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,162.28	Facility		$1,949.84	$1,949.84	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $3,090.30	Professional		$1,445.44	$1,445.44	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,890.45	Professional		$2,511.89	$3,090.30	$3,890.45
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 $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,454.71	Professional		$1,698.24	$1,698.24	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $3,801.89	Facility		$1,513.56	$2,454.71	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,238.72	Professional		$1,023.29	$1,513.56	$2,238.72