Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,905.96 / $2,905.96 / $2,905.96	Facility		$2,905.96	$2,905.96	$2,905.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,099.46 / $2,905.96 / $4,418.03	Professional		$2,099.46	$2,905.96	$4,418.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,015.08 / $11,868.28 / $50,517.80	Facility		$7,015.08	$11,868.28	$50,517.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $6,226.65	Facility		$3,798.08	$3,798.08	$6,226.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $3,798.08 / $6,806.63	Professional		$2,772.60	$3,798.08	$6,806.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,834.72 / $5,932.04 / $7,518.27	Professional		$4,834.72	$5,932.04	$7,518.27
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 $7,632.68 / $7,632.68 / $7,632.68	Professional		$7,632.68	$7,632.68	$7,632.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,314.50 / $4,735.01 / $4,971.76	Professional		$3,314.50	$4,735.01	$4,971.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,097.27 / $2,929.12 / $5,028.33	Professional		$2,097.27	$2,929.12	$5,028.33