Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,005.94 / $2,005.94 / $2,005.94	Facility		$2,005.94	$2,005.94	$2,005.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,816.33 / $2,005.94 / $3,339.95	Professional		$1,816.33	$2,005.94	$3,339.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,843.14 / $8,193.74 / $34,871.79	Facility		$4,843.14	$8,193.74	$34,871.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,080.18 / $3,080.18 / $3,080.18	Professional		$3,080.18	$3,080.18	$3,080.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,214.74 / $3,214.74 / $4,107.85	Facility		$3,214.74	$3,214.74	$4,107.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,732.53 / $3,178.59 / $4,698.38	Professional		$2,732.53	$3,178.59	$4,698.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,444.94 / $4,590.35 / $5,603.64	Professional		$3,444.94	$4,590.35	$5,603.64
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 $5,268.73 / $5,268.73 / $5,268.73	Professional		$5,268.73	$5,268.73	$5,268.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $855.33 / $2,138.27 / $3,054.68	Professional		$855.33	$2,138.27	$3,054.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.03 / $2,021.93 / $3,580.29	Professional		$1,543.03	$2,021.93	$3,580.29