Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.32 / $1,405.32 / $1,405.32	Facility		$1,405.32	$1,405.32	$1,405.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.57 / $1,405.32 / $2,329.54	Professional		$1,237.57	$1,405.32	$2,329.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,393.06 / $5,740.46 / $24,430.47	Facility		$3,393.06	$5,740.46	$24,430.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,157.91 / $2,157.91 / $2,157.91	Professional		$2,157.91	$2,157.91	$2,157.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $3,107.93	Facility		$1,584.92	$1,584.92	$3,107.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $3,291.75	Professional		$1,156.99	$1,584.92	$3,291.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,555.42 / $3,416.80 / $4,171.03	Professional		$2,555.42	$3,416.80	$4,171.03
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 $3,691.17 / $3,691.17 / $3,691.17	Professional		$3,691.17	$3,691.17	$3,691.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,498.03 / $2,140.05 / $2,247.05	Professional		$1,498.03	$2,140.05	$2,247.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.02 / $1,416.52 / $2,508.28	Professional		$1,081.02	$1,416.52	$2,508.28