Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,125.55 / $4,913.88 / $8,333.61	Facility		$4,125.55	$4,913.88	$8,333.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,125.55 / $4,128.02 / $4,538.10	Professional		$4,125.55	$4,128.02	$4,538.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.40 / $282.16 / $31,582.30	Facility		$118.40	$282.16	$31,582.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,339.66 / $4,339.66 / $5,257.00	Professional		$4,339.66	$4,339.66	$5,257.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Facility		$4,128.02	$4,128.02	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,843.20	Professional		$4,128.02	$4,128.02	$4,843.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $210.74 / $5,366.43 / $10,344.53	Professional		$210.74	$5,366.43	$10,344.53
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 $5,366.43 / $5,366.43 / $5,366.43	Professional		$5,366.43	$5,366.43	$5,366.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,988.33 / $5,583.66 / $5,982.50	Professional		$3,988.33	$5,583.66	$5,982.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,365.58 / $4,623.38	Professional		$4,128.02	$4,365.58	$4,623.38