Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $5,896.17	Facility		$3,715.20	$3,715.20	$5,896.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $4,876.20	Professional		$3,715.20	$3,715.20	$4,876.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,623.01 / $46,316.16 / $96,242.25	Facility		$2,623.01	$46,316.16	$96,242.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $6,295.42 / $7,598.52	Professional		$345.40	$6,295.42	$7,598.52
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 $3,870.00 / $3,870.00 / $4,397.64	Professional		$3,870.00	$3,870.00	$4,397.64