Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,075.00 / $6,150.00 / $8,775.00	Facility		$3,075.00	$6,150.00	$8,775.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,887.50 / $3,075.00 / $4,766.25	Professional		$2,887.50	$3,075.00	$4,766.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,062.50 / $16,141.12 / $49,607.25	Facility		$5,062.50	$16,141.12	$49,607.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $2,887.50 / $3,750.00	Professional		$3.50	$2,887.50	$3,750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,913.70 / $9,165.49 / $17,262.80	Facility		$4,913.70	$9,165.49	$17,262.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.09 / $4,567.80 / $6,329.69	Professional		$1,918.09	$4,567.80	$6,329.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $6,000.00 / $10,241.36	Professional		$3,825.00	$6,000.00	$10,241.36
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 $4,875.00 / $4,875.00 / $4,875.00	Professional		$4,875.00	$4,875.00	$4,875.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,625.00	Professional		$5,100.00	$5,100.00	$5,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,575.00 / $1,875.00 / $3,750.00	Professional		$1,575.00	$1,875.00	$3,750.00