Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,526.39 / $8,820.90 / $14,211.40	Facility		$4,526.39	$8,820.90	$14,211.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,250.39 / $4,526.39 / $7,015.92	Professional		$4,250.39	$4,526.39	$7,015.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,187.40 / $23,207.18 / $80,460.07	Facility		$7,187.40	$23,207.18	$80,460.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4,192.64 / $8,276.40	Professional		$4.50	$4,192.64	$8,276.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,978.28 / $13,442.50 / $25,065.53	Facility		$6,978.28	$13,442.50	$25,065.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,555.90 / $6,319.52 / $9,190.70	Professional		$2,555.90	$6,319.52	$9,190.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,553.90 / $8,978.95 / $18,796.96	Professional		$5,553.90	$8,978.95	$18,796.96
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 $7,078.50 / $7,078.50 / $7,078.50	Professional		$7,078.50	$7,078.50	$7,078.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,405.20 / $7,405.20 / $8,167.50	Professional		$7,405.20	$7,405.20	$8,167.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,310.00 / $3,300.00 / $5,665.00	Professional		$2,310.00	$3,300.00	$5,665.00