Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,838.56 / $3,838.56 / $3,838.56	Facility		$3,838.56	$3,838.56	$3,838.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,842.80 / $3,838.56 / $5,389.47	Professional		$2,842.80	$3,838.56	$5,389.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,639.90 / $50,566.64 / $101,259.69	Facility		$23,639.90	$50,566.64	$101,259.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.33 / $444.44 / $444.44	Professional		$372.33	$444.44	$444.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.50 / $422.50 / $5,399.92	Facility		$422.50	$422.50	$5,399.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $4,550.34 / $8,385.94	Professional		$422.50	$4,550.34	$8,385.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $1,348.67	Professional		$100.00	$200.00	$1,348.67
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 $382.64 / $666.66 / $4,017.72	Professional		$382.64	$666.66	$4,017.72
United Facility/Professional Professional Modifier Low / Median / High Price $2,393.83 / $3,281.53 / $5,385.38	Professional		$2,393.83	$3,281.53	$5,385.38