Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,110.80 / $8,843.00 / $11,185.20	Facility		$4,110.80	$8,843.00	$11,185.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,919.60 / $5,291.46	Professional		$3,000.00	$3,919.60	$5,291.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,453.00 / $20,243.30 / $63,232.70	Facility		$6,453.00	$20,243.30	$63,232.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3,298.20 / $3,680.60	Professional		$3.50	$3,298.20	$3,680.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,368.76 / $11,876.93 / $22,004.00	Facility		$5,368.76	$11,876.93	$22,004.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,332.71 / $5,547.41 / $8,068.13	Professional		$2,332.71	$5,547.41	$8,068.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $7,648.00 / $15,603.36	Professional		$4,780.00	$7,648.00	$15,603.36
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 $6,214.00 / $6,214.00 / $6,214.00	Professional		$6,214.00	$6,214.00	$6,214.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,390.00 / $4,780.00 / $7,026.60	Professional		$2,390.00	$4,780.00	$7,026.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,736.00 / $5,736.00 / $5,736.00	Facility		$5,736.00	$5,736.00	$5,736.00
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