Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $17,782.79	Facility		$4,786.30	$4,786.30	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,897.79 / $5,128.61	Professional		$4,786.30	$4,897.79	$5,128.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $17,782.79 / $72,443.60	Facility		$3,311.31	$17,782.79	$72,443.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $7,079.46 / $8,709.64	Professional		$346.74	$7,079.46	$8,709.64
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,388.44	Facility		$2,041.74	$2,041.74	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,370.32	Professional		$5,011.87	$5,011.87	$5,370.32