Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,232.84 / $2,232.84 / $2,232.84	Facility		$2,232.84	$2,232.84	$2,232.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.05 / $2,404.60 / $3,542.34	Professional		$1,988.05	$2,404.60	$3,542.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,390.10 / $9,119.10 / $38,816.31	Facility		$5,390.10	$9,119.10	$38,816.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,428.59 / $3,428.59 / $4,266.88	Professional		$3,428.59	$3,428.59	$4,266.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $4,635.42	Facility		$2,741.63	$2,741.63	$4,635.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $5,230.13	Professional		$2,001.39	$2,741.63	$5,230.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,060.17 / $5,922.24 / $7,120.26	Professional		$4,060.17	$5,922.24	$7,120.26
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 $5,864.69 / $5,864.69 / $5,864.69	Professional		$5,864.69	$5,864.69	$5,864.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,749.11 / $3,927.31 / $4,123.67	Professional		$2,749.11	$3,927.31	$4,123.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,900.12 / $2,250.64 / $3,863.60	Professional		$1,900.12	$2,250.64	$3,863.60