Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,898.26 / $11,652.70 / $21,579.00	Facility		$5,898.26	$11,652.70	$21,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,538.61 / $5,898.26 / $8,631.60	Professional		$5,538.61	$5,898.26	$8,631.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,494.76 / $30,240.81 / $104,845.88	Facility		$9,494.76	$30,240.81	$104,845.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5,538.61 / $10,933.36	Professional		$4.50	$5,538.61	$10,933.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,126.15 / $17,580.50 / $33,112.47	Facility		$9,126.15	$17,580.50	$33,112.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,342.68 / $8,348.02 / $12,141.24	Professional		$3,342.68	$8,348.02	$12,141.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,336.86 / $10,070.20 / $13,893.82	Professional		$7,336.86	$10,070.20	$13,893.82
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 $9,350.90 / $9,350.90 / $9,350.90	Professional		$9,350.90	$9,350.90	$9,350.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,782.48 / $9,782.48 / $10,789.50	Professional		$9,782.48	$9,782.48	$10,789.50
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $4,315.80 / $7,193.00	Professional		$3,021.06	$4,315.80	$7,193.00