Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,128.61 / $9,772.37	Facility		$1,148.15	$5,128.61	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $9,772.37	Professional		$4,073.80	$4,786.30	$9,772.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $52,480.75 / $100,000.00	Facility		$19,498.45	$52,480.75	$100,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,456.54 / $7,943.28	Professional		$5,370.32	$6,456.54	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $10,000.00	Professional		$2,398.83	$5,888.44	$10,000.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $8,317.64 / $21,877.62	Professional		$3,981.07	$8,317.64	$21,877.62
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 $4,897.79 / $5,754.40 / $6,456.54	Professional		$4,897.79	$5,754.40	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $6,309.57	Professional		$32.36	$33.11	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $9,549.93	Professional		$3,715.35	$5,495.41	$9,549.93