Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,384.23 / $3,384.23 / $3,384.23	Facility		$3,384.23	$3,384.23	$3,384.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,254.07 / $3,644.55 / $5,464.26	Professional		$3,254.07	$3,644.55	$5,464.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,171.01 / $13,823.91 / $58,832.19	Facility		$8,171.01	$13,823.91	$58,832.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,196.58 / $5,196.58 / $5,196.58	Professional		$5,196.58	$5,196.58	$5,196.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $7,290.91	Facility		$4,423.18	$4,423.18	$7,290.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $4,423.18 / $7,926.75	Professional		$3,228.92	$4,423.18	$7,926.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,153.84 / $7,863.24 / $9,572.64	Professional		$6,153.84	$7,863.24	$9,572.64
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 $8,888.87 / $8,888.87 / $8,888.87	Professional		$8,888.87	$8,888.87	$8,888.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,166.72 / $5,952.46 / $6,250.08	Professional		$4,166.72	$5,952.46	$6,250.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,702.47 / $3,411.20 / $5,855.90	Professional		$2,702.47	$3,411.20	$5,855.90