Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.49 / $1,954.49 / $1,954.49	Facility		$1,954.49	$1,954.49	$1,954.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.24 / $1,954.49 / $3,059.85	Professional		$1,462.24	$1,954.49	$3,059.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,719.12 / $7,983.92 / $33,977.32	Facility		$4,719.12	$7,983.92	$33,977.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,001.16 / $3,001.16 / $3,001.16	Professional		$3,001.16	$3,001.16	$3,001.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,694.60 / $2,694.60 / $4,312.47	Facility		$2,694.60	$2,694.60	$4,312.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,623.78	Professional		$1,967.06	$1,967.06	$4,623.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,356.57 / $4,267.82 / $5,408.80	Professional		$3,356.57	$4,267.82	$5,408.80
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 $5,133.57 / $5,133.57 / $5,133.57	Professional		$5,133.57	$5,133.57	$5,133.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,229.26 / $3,184.66 / $3,343.89	Professional		$2,229.26	$3,184.66	$3,343.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,460.72 / $1,970.06 / $3,283.44	Professional		$1,460.72	$1,970.06	$3,283.44