Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,376.32 / $12,441.60 / $20,295.40	Facility		$6,376.32	$12,441.60	$20,295.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,987.52 / $6,609.60 / $9,331.20	Professional		$5,987.52	$6,609.60	$9,331.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,264.32 / $32,691.85 / $113,343.75	Facility		$10,264.32	$32,691.85	$113,343.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5,987.52 / $11,819.52	Professional		$4.50	$5,987.52	$11,819.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,866.06 / $19,005.62 / $35,797.26	Facility		$9,866.06	$19,005.62	$35,797.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,977.47 / $10,108.79 / $13,125.67	Professional		$3,977.47	$10,108.79	$13,125.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $10,186.56 / $14,813.28	Professional		$7,776.00	$10,186.56	$14,813.28
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 $10,108.79 / $10,108.79 / $10,108.79	Professional		$10,108.79	$10,108.79	$10,108.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,575.36 / $10,575.36 / $11,664.00	Professional		$10,575.36	$10,575.36	$11,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $4,665.60 / $7,776.00	Professional		$3,265.92	$4,665.60	$7,776.00