Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,855.48 / $1,855.48 / $1,855.48	Facility		$1,855.48	$1,855.48	$1,855.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.15 / $1,855.48 / $2,797.03	Professional		$1,554.15	$1,855.48	$2,797.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,479.03 / $7,577.73 / $32,256.11	Facility		$4,479.03	$7,577.73	$32,256.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $3,544.39	Facility		$2,425.11	$2,425.11	$3,544.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $4,346.25	Professional		$1,770.33	$2,425.11	$4,346.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,186.54 / $4,112.43 / $5,211.89	Professional		$3,186.54	$4,112.43	$5,211.89
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 $4,873.53 / $4,873.53 / $4,873.53	Professional		$4,873.53	$4,873.53	$4,873.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,116.35 / $3,023.36 / $3,174.52	Professional		$2,116.35	$3,023.36	$3,174.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,319.40 / $1,870.28 / $3,210.64	Professional		$1,319.40	$1,870.28	$3,210.64