Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,922.87 / $1,922.87 / $1,922.87	Facility		$1,922.87	$1,922.87	$1,922.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,439.34 / $1,922.87 / $2,964.10	Professional		$1,439.34	$1,922.87	$2,964.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,642.80 / $7,854.80 / $33,427.65	Facility		$4,642.80	$7,854.80	$33,427.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,952.62 / $2,952.62 / $3,697.83	Professional		$2,952.62	$2,952.62	$3,697.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,561.34 / $2,561.34 / $4,177.51	Facility		$2,561.34	$2,561.34	$4,177.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $4,503.75	Professional		$1,869.78	$2,561.34	$4,503.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,302.28 / $4,273.53 / $5,416.98	Professional		$3,302.28	$4,273.53	$5,416.98
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 $5,050.54 / $5,050.54 / $5,050.54	Professional		$5,050.54	$5,050.54	$5,050.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,193.20 / $3,133.15 / $3,289.80	Professional		$2,193.20	$3,133.15	$3,289.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.96 / $1,938.20 / $3,327.24	Professional		$1,339.96	$1,938.20	$3,327.24