Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,503.01 / $1,503.01 / $1,503.01	Facility		$1,503.01	$1,503.01	$1,503.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.58 / $1,503.01 / $2,206.02	Professional		$1,031.58	$1,503.01	$2,206.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,628.38 / $6,138.58 / $26,128.77	Facility		$3,628.38	$6,138.58	$26,128.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,307.91 / $2,307.91 / $2,307.91	Professional		$2,307.91	$2,307.91	$2,307.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $3,109.12	Facility		$1,964.43	$1,964.43	$3,109.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,964.43 / $3,520.50	Professional		$1,434.03	$1,964.43	$3,520.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,506.23 / $3,075.07 / $3,897.34	Professional		$2,506.23	$3,075.07	$3,897.34
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 $3,947.75 / $3,947.75 / $3,947.75	Professional		$3,947.75	$3,947.75	$3,947.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,714.32 / $2,449.03 / $2,571.48	Professional		$1,714.32	$2,449.03	$2,571.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.26 / $1,514.99 / $2,600.73	Professional		$1,003.26	$1,514.99	$2,600.73