Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,611.46 / $3,611.46 / $3,611.46	Facility		$3,611.46	$3,611.46	$3,611.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,639.04 / $3,611.46 / $5,125.50	Professional		$2,639.04	$3,611.46	$5,125.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,241.29 / $47,574.96 / $95,268.85	Facility		$22,241.29	$47,574.96	$95,268.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.64 / $421.07 / $421.07	Professional		$345.64	$421.07	$421.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $3,969.52	Facility		$200.00	$200.00	$3,969.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $3,344.98 / $8,118.75	Professional		$200.00	$3,344.98	$8,118.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $1,252.02	Professional		$100.00	$200.00	$1,252.02
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 $631.61 / $631.61 / $842.13	Professional		$631.61	$631.61	$842.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,195.33 / $2,853.93 / $5,249.60	Professional		$2,195.33	$2,853.93	$5,249.60