Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,702.64 / $2,702.64 / $2,702.64	Facility		$2,702.64	$2,702.64	$2,702.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,043.89 / $2,702.64 / $3,933.24	Professional		$2,043.89	$2,702.64	$3,933.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,525.36 / $11,039.76 / $46,983.36	Facility		$6,525.36	$11,039.76	$46,983.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,532.34 / $3,532.34 / $5,414.01	Facility		$3,532.34	$3,532.34	$5,414.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $3,532.34 / $6,330.38	Professional		$2,578.61	$3,532.34	$6,330.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,641.43 / $6,113.13 / $7,644.70	Professional		$4,641.43	$6,113.13	$7,644.70
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 $7,098.65 / $7,098.65 / $7,098.65	Professional		$7,098.65	$7,098.65	$7,098.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,082.60 / $4,403.72 / $4,623.90	Professional		$3,082.60	$4,403.72	$4,623.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.06 / $3,050.06 / $3,050.06	Facility		$3,050.06	$3,050.06	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.77 / $2,724.19 / $4,783.30	Professional		$1,902.77	$2,724.19	$4,783.30