Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $5,495.41	Facility		$2,691.53	$2,691.53	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,570.88	Professional		$1,905.46	$2,691.53	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,471.29 / $37,153.52	Facility		$6,606.93	$10,471.29	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,011.87	Facility		$3,548.13	$3,548.13	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,495.41	Professional		$2,570.40	$2,570.40	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $7,079.46	Professional		$4,365.16	$5,495.41	$7,079.46
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 $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,365.16	Professional		$3,090.30	$3,090.30	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $7,079.46	Facility		$2,884.03	$4,365.16	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,981.07	Professional		$1,949.84	$2,691.53	$3,981.07