Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,086.65 / $2,086.65 / $2,086.65	Facility		$2,086.65	$2,086.65	$2,086.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,653.87 / $2,086.65 / $3,372.74	Professional		$1,653.87	$2,086.65	$3,372.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,037.12 / $8,521.92 / $36,274.83	Facility		$5,037.12	$8,521.92	$36,274.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,204.11 / $3,204.11 / $3,204.11	Professional		$3,204.11	$3,204.11	$3,204.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,970.85 / $2,970.85 / $4,964.04	Facility		$2,970.85	$2,970.85	$4,964.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,970.85 / $4,887.38	Professional		$2,168.71	$2,970.85	$4,887.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,372.74 / $4,171.21 / $5,059.12	Professional		$3,372.74	$4,171.21	$5,059.12
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 $5,480.71 / $5,480.71 / $5,480.71	Professional		$5,480.71	$5,480.71	$5,480.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,380.00 / $3,400.00 / $3,570.00	Professional		$2,380.00	$3,400.00	$3,570.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,753.46 / $2,103.28 / $3,724.34	Professional		$1,753.46	$2,103.28	$3,724.34