Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,403.62 / $2,403.62 / $2,403.62	Facility		$2,403.62	$2,403.62	$2,403.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.21 / $2,403.62 / $3,467.03	Professional		$1,642.21	$2,403.62	$3,467.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,803.50 / $9,818.50 / $41,785.12	Facility		$5,803.50	$9,818.50	$41,785.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,141.52 / $3,141.52 / $4,886.33	Facility		$3,141.52	$3,141.52	$4,886.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $3,141.52 / $5,629.88	Professional		$2,293.31	$3,141.52	$5,629.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,918.71 / $4,856.35 / $6,093.82	Professional		$3,918.71	$4,856.35	$6,093.82
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 $6,313.26 / $6,313.26 / $6,313.26	Professional		$6,313.26	$6,313.26	$6,313.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,562.18 / $3,660.26 / $3,843.27	Professional		$2,562.18	$3,660.26	$3,843.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,514.24 / $2,422.78 / $4,290.08	Professional		$1,514.24	$2,422.78	$4,290.08