Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,772.85 / $5,659.28 / $9,847.14	Facility		$3,772.85	$5,659.28	$9,847.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,772.85 / $3,817.28 / $4,572.70	Professional		$3,772.85	$3,817.28	$4,572.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,640.15 / $11,674.14 / $57,851.21	Facility		$7,640.15	$11,674.14	$57,851.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Facility		$3,817.28	$3,817.28	$3,817.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,796.50 / $3,965.50 / $4,962.46	Professional		$2,796.50	$3,965.50	$4,962.46
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,962.46 / $4,962.46 / $4,962.46	Professional		$4,962.46	$4,962.46	$4,962.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,581.94 / $3,581.94 / $3,681.34	Professional		$3,581.94	$3,581.94	$3,681.34
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,014.39 / $4,249.43	Professional		$3,817.28	$4,014.39	$4,249.43