Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,852.94 / $1,852.94 / $1,852.94	Facility		$1,852.94	$1,852.94	$1,852.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.78 / $1,852.94 / $3,071.58	Professional		$1,631.78	$1,852.94	$3,071.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,472.67 / $7,566.97 / $32,211.97	Facility		$4,472.67	$7,566.97	$32,211.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,845.24 / $2,845.24 / $2,845.24	Professional		$2,845.24	$2,845.24	$2,845.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.80 / $2,264.80 / $4,097.85	Facility		$2,264.80	$2,264.80	$4,097.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.30 / $2,264.80 / $4,340.25	Professional		$1,653.30	$2,264.80	$4,340.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,182.18 / $4,292.00 / $5,241.24	Professional		$3,182.18	$4,292.00	$5,241.24
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 $4,866.85 / $4,866.85 / $4,866.85	Professional		$4,866.85	$4,866.85	$4,866.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,281.37 / $3,259.11 / $3,422.06	Professional		$2,281.37	$3,259.11	$3,422.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,425.34 / $1,867.71 / $3,206.24	Professional		$1,425.34	$1,867.71	$3,206.24