Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,919.60 / $7,648.00 / $12,475.80	Facility		$3,919.60	$7,648.00	$12,475.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,585.00 / $3,919.60 / $4,302.00	Professional		$3,585.00	$3,919.60	$4,302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,592.60 / $6,692.00 / $8,460.60	Facility		$5,592.60	$6,692.00	$8,460.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,368.76 / $11,433.76 / $22,004.00	Facility		$5,368.76	$11,433.76	$22,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,736.00 / $5,822.04 / $6,975.46	Professional		$5,736.00	$5,822.04	$6,975.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $6,692.00 / $10,038.00	Professional		$4,780.00	$6,692.00	$10,038.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,500.80 / $6,500.80 / $7,026.60	Professional		$6,500.80	$6,500.80	$7,026.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Facility		$4,780.00	$4,780.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,868.00 / $4,780.00	Professional		$2,007.60	$2,868.00	$4,780.00