Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,897.34 / $1,897.34 / $1,897.34	Facility		$1,897.34	$1,897.34	$1,897.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.54 / $1,897.34 / $2,778.32	Professional		$1,387.54	$1,897.34	$2,778.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,580.79 / $7,749.89 / $32,983.76	Facility		$4,580.79	$7,749.89	$32,983.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,913.42 / $2,913.42 / $2,913.42	Professional		$2,913.42	$2,913.42	$2,913.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,479.82 / $2,479.82 / $3,915.68	Facility		$2,479.82	$2,479.82	$3,915.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,479.82 / $4,444.13	Professional		$1,810.27	$2,479.82	$4,444.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,258.43 / $4,628.92 / $5,666.89	Professional		$3,258.43	$4,628.92	$5,666.89
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 $4,983.49 / $4,983.49 / $4,983.49	Professional		$4,983.49	$4,983.49	$4,983.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,164.08 / $3,091.55 / $3,246.12	Professional		$2,164.08	$3,091.55	$3,246.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.10 / $1,912.47 / $3,283.07	Professional		$1,386.10	$1,912.47	$3,283.07