Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,036.26 / $9,442.98 / $16,871.50	Facility		$5,036.26	$9,442.98	$16,871.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,036.26 / $6,270.14	Professional		$5,036.26	$5,036.26	$6,270.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,674.55 / $18,878.40 / $70,860.25	Facility		$6,674.55	$18,878.40	$70,860.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $5,715.26	Professional		$100.00	$200.00	$5,715.26
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 $4,642.31 / $5,123.85 / $5,266.03	Professional		$4,642.31	$5,123.85	$5,266.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,855.30 / $8,011.25 / $8,011.25	Facility		$4,855.30	$8,011.25	$8,011.25
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,665.79	Professional		$5,246.10	$5,246.10	$5,665.79