Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,246.67 / $2,246.67 / $2,246.67	Facility		$2,246.67	$2,246.67	$2,246.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,034.31 / $2,246.67 / $3,740.75	Professional		$2,034.31	$2,246.67	$3,740.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,423.49 / $9,175.59 / $39,056.51	Facility		$5,423.49	$9,175.59	$39,056.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,600.52 / $3,600.52 / $4,600.81	Facility		$3,600.52	$3,600.52	$4,600.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,560.04 / $5,262.38	Professional		$3,060.44	$3,560.04	$5,262.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,858.35 / $5,104.04 / $6,230.72	Professional		$3,858.35	$5,104.04	$6,230.72
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 $5,901.00 / $5,901.00 / $5,901.00	Professional		$5,901.00	$5,901.00	$5,901.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,184.00 / $3,120.00 / $3,276.00	Professional		$2,184.00	$3,120.00	$3,276.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,684.38 / $2,264.57 / $3,887.52	Professional		$1,684.38	$2,264.57	$3,887.52