Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,715.35	Facility		$1,778.28	$1,778.28	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $3,311.31	Professional		$1,513.56	$1,862.09	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,918.31 / $25,118.86	Facility		$4,365.16	$6,918.31	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $3,715.35	Facility		$2,398.83	$2,884.03	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,630.78	Professional		$2,454.71	$2,454.71	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,168.69 / $5,248.07	Professional		$2,884.03	$4,168.69	$5,248.07
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 $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,454.71	Professional		$1,737.80	$1,737.80	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $3,715.35	Facility		$954.99	$2,454.71	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,691.53	Professional		$1,380.38	$1,819.70	$2,691.53