Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,890.45	Facility		$1,905.46	$1,905.46	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,467.37	Professional		$1,380.38	$1,905.46	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $26,302.68	Facility		$4,570.88	$7,413.10	$26,302.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,981.07	Facility		$2,454.71	$2,454.71	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,890.45	Professional		$1,819.70	$1,819.70	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $5,623.41	Professional		$3,235.94	$4,677.35	$5,623.41
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 $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,090.30	Professional		$2,187.76	$2,187.76	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $5,128.61	Facility		$2,089.30	$3,090.30	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,884.03	Professional		$1,380.38	$1,905.46	$2,884.03