Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,652.17 / $2,652.17 / $2,652.17	Facility		$2,652.17	$2,652.17	$2,652.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,996.93 / $2,652.17 / $3,929.91	Professional		$1,996.93	$2,652.17	$3,929.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,402.93 / $10,832.63 / $46,105.91	Facility		$6,402.93	$10,832.63	$46,105.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,072.48 / $4,072.48 / $4,072.48	Professional		$4,072.48	$4,072.48	$4,072.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $5,538.71	Facility		$3,813.78	$3,813.78	$5,538.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $3,813.78 / $6,212.25	Professional		$2,784.06	$3,813.78	$6,212.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,554.75 / $5,842.62 / $7,404.61	Professional		$4,554.75	$5,842.62	$7,404.61
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 $6,966.09 / $6,966.09 / $6,966.09	Professional		$6,966.09	$6,966.09	$6,966.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,025.03 / $4,321.47 / $4,537.55	Professional		$3,025.03	$4,321.47	$4,537.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,868.39 / $2,673.31 / $4,733.72	Professional		$1,868.39	$2,673.31	$4,733.72