Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $5,304.55	Facility		$4,041.56	$4,041.56	$5,304.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,041.56 / $4,294.16	Professional		$4,041.56	$4,041.56	$4,294.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,494.71 / $35,881.12 / $67,031.87	Facility		$17,494.71	$35,881.12	$67,031.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $6,280.51	Professional		$100.00	$200.00	$6,280.51
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,051.95	Professional		$4,209.96	$4,209.96	$5,051.95