Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,947.78 / $1,947.78 / $1,947.78	Facility		$1,947.78	$1,947.78	$1,947.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.38 / $1,947.78 / $2,593.55	Professional		$1,438.38	$1,947.78	$2,593.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,701.63 / $7,954.33 / $33,860.62	Facility		$4,701.63	$7,954.33	$33,860.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,990.87 / $2,990.87 / $2,990.87	Professional		$2,990.87	$2,990.87	$2,990.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.75 / $2,253.75 / $3,246.66	Facility		$2,253.75	$2,253.75	$3,246.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $2,253.75 / $4,562.25	Professional		$1,915.69	$2,253.75	$4,562.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,148.28 / $6,887.44 / $8,384.71	Professional		$3,148.28	$6,887.44	$8,384.71
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 $5,115.96 / $5,115.96 / $5,115.96	Professional		$5,115.96	$5,115.96	$5,115.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,893.45 / $2,704.94 / $2,840.18	Professional		$1,893.45	$2,704.94	$2,840.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.86 / $1,963.30 / $3,476.49	Professional		$1,308.86	$1,963.30	$3,476.49