Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,340.78 / $3,340.78 / $3,340.78	Facility		$3,340.78	$3,340.78	$3,340.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,781.05 / $3,340.78 / $5,462.69	Professional		$2,781.05	$3,340.78	$5,462.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,066.07 / $13,646.37 / $58,076.84	Facility		$8,066.07	$13,646.37	$58,076.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $7,698.98	Facility		$4,366.38	$4,366.38	$7,698.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $4,366.38 / $7,825.13	Professional		$3,187.46	$4,366.38	$7,825.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,737.34 / $7,563.38 / $9,449.73	Professional		$5,737.34	$7,563.38	$9,449.73
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 $8,774.75 / $8,774.75 / $8,774.75	Professional		$8,774.75	$8,774.75	$8,774.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,810.45 / $5,443.51 / $5,715.68	Professional		$3,810.45	$5,443.51	$5,715.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,602.05 / $3,367.41 / $5,962.77	Professional		$2,602.05	$3,367.41	$5,962.77