Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $5,128.61	Facility		$2,511.89	$2,511.89	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $4,570.88	Professional		$2,137.96	$2,570.40	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $9,772.37 / $34,673.69	Facility		$6,025.60	$9,772.37	$34,673.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,248.07	Facility		$2,818.38	$2,818.38	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,128.61	Professional		$2,398.83	$2,398.83	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $7,244.36	Professional		$3,981.07	$5,754.40	$7,244.36
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 $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,467.37	Professional		$2,398.83	$2,398.83	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,467.37 / $5,128.61	Facility		$1,348.96	$3,467.37	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,801.89	Professional		$1,905.46	$2,511.89	$3,801.89