Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $8,000.00 / $13,050.00	Facility		$4,100.00	$8,000.00	$13,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,850.00 / $4,275.00 / $5,000.00	Professional		$3,850.00	$4,275.00	$5,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,850.00 / $7,000.00 / $8,850.00	Facility		$5,850.00	$7,000.00	$8,850.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $7,600.00	Professional		$5,000.00	$5,000.00	$7,600.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,343.89 / $12,423.67 / $23,018.06	Facility		$6,343.89	$12,423.67	$23,018.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,000.00 / $6,089.96 / $7,296.46	Professional		$6,000.00	$6,089.96	$7,296.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $7,000.00 / $10,500.00	Professional		$5,000.00	$7,000.00	$10,500.00
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 $6,500.00 / $6,500.00 / $6,500.00	Professional		$6,500.00	$6,500.00	$6,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,800.00 / $6,800.00 / $7,500.00	Professional		$6,800.00	$6,800.00	$7,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,000.00 / $5,000.00	Professional		$2,100.00	$3,000.00	$5,000.00