Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.31 / $1,481.31 / $1,481.31	Facility		$1,481.31	$1,481.31	$1,481.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.15 / $1,481.31 / $2,466.23	Professional		$1,341.15	$1,481.31	$2,466.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,575.91 / $6,049.81 / $25,751.45	Facility		$3,575.91	$6,049.81	$25,751.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,274.60 / $2,274.60 / $2,388.33	Professional		$2,274.60	$2,274.60	$2,388.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.71 / $2,373.71 / $3,033.16	Facility		$2,373.71	$2,373.71	$3,033.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,017.65 / $2,347.08 / $3,469.50	Professional		$2,017.65	$2,347.08	$3,469.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,543.96 / $3,446.05 / $4,218.78	Professional		$2,543.96	$3,446.05	$4,218.78
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 $3,890.76 / $3,890.76 / $3,890.76	Professional		$3,890.76	$3,890.76	$3,890.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,439.98 / $2,057.12 / $2,159.97	Professional		$1,439.98	$2,057.12	$2,159.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,191.57 / $1,493.11 / $2,643.90	Professional		$1,191.57	$1,493.11	$2,643.90