Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,696.17 / $2,696.17 / $2,696.17	Facility		$2,696.17	$2,696.17	$2,696.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,066.67 / $2,696.17 / $3,674.10	Professional		$2,066.67	$2,696.17	$3,674.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,509.46 / $11,012.86 / $46,870.89	Facility		$6,509.46	$11,012.86	$46,870.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $4,938.85	Facility		$3,523.90	$3,523.90	$4,938.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $3,523.90 / $6,315.38	Professional		$2,572.44	$3,523.90	$6,315.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,489.85 / $5,470.55 / $7,003.92	Professional		$4,489.85	$5,470.55	$7,003.92
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 $7,081.66 / $7,081.66 / $7,081.66	Professional		$7,081.66	$7,081.66	$7,081.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,075.21 / $4,393.17 / $4,612.82	Professional		$3,075.21	$4,393.17	$4,612.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,817.10 / $2,717.66 / $4,665.32	Professional		$1,817.10	$2,717.66	$4,665.32