Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.09 / $1,590.09 / $1,590.09	Facility		$1,590.09	$1,590.09	$1,590.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.16 / $1,590.09 / $2,388.67	Professional		$1,094.16	$1,590.09	$2,388.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,838.26 / $6,493.66 / $27,642.41	Facility		$3,838.26	$6,493.66	$27,642.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,441.62 / $2,441.62 / $2,748.78	Professional		$2,441.62	$2,441.62	$2,748.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,787.17 / $1,787.17 / $3,366.53	Facility		$1,787.17	$1,787.17	$3,366.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $3,761.75	Professional		$1,304.63	$1,304.63	$3,761.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,594.35 / $3,212.66 / $4,034.36	Professional		$2,594.35	$3,212.66	$4,034.36
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 $4,176.46 / $4,176.46 / $4,176.46	Professional		$4,176.46	$4,176.46	$4,176.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,813.63 / $2,590.90 / $2,720.44	Professional		$1,813.63	$2,590.90	$2,720.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.03 / $1,602.76 / $2,751.41	Professional		$1,093.03	$1,602.76	$2,751.41