Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.88 / $1,625.88 / $1,625.88	Facility		$1,625.88	$1,625.88	$1,625.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.34 / $1,625.88 / $2,356.48	Professional		$1,246.34	$1,625.88	$2,356.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,925.71 / $6,641.61 / $28,264.63	Facility		$3,925.71	$6,641.61	$28,264.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,496.58 / $2,496.58 / $2,496.58	Professional		$2,496.58	$2,496.58	$2,496.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.02 / $2,125.02 / $3,321.18	Facility		$2,125.02	$2,125.02	$3,321.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $2,125.02 / $3,808.13	Professional		$1,551.26	$2,125.02	$3,808.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,755.98 / $3,368.82 / $4,269.64	Professional		$2,755.98	$3,368.82	$4,269.64
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 $4,270.46 / $4,270.46 / $4,270.46	Professional		$4,270.46	$4,270.46	$4,270.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,854.46 / $2,649.23 / $2,781.69	Professional		$1,854.46	$2,649.23	$2,781.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,157.85 / $1,638.84 / $2,813.34	Professional		$1,157.85	$1,638.84	$2,813.34