Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,722.28 / $3,722.28 / $3,722.28	Facility		$3,722.28	$3,722.28	$3,722.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,756.68 / $3,722.28 / $5,722.23	Professional		$2,756.68	$3,722.28	$5,722.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,986.68 / $15,203.88 / $64,709.00	Facility		$8,986.68	$15,203.88	$64,709.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $8,064.76	Facility		$4,865.01	$4,865.01	$8,064.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $4,865.01 / $8,718.75	Professional		$3,551.46	$4,865.01	$8,718.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,392.51 / $9,275.62 / $11,355.56	Professional		$6,392.51	$9,275.62	$11,355.56
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 $9,776.78 / $9,776.78 / $9,776.78	Professional		$9,776.78	$9,776.78	$9,776.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,245.58 / $6,065.12 / $6,368.37	Professional		$4,245.58	$6,065.12	$6,368.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,753.82 / $3,751.95 / $6,587.91	Professional		$2,753.82	$3,751.95	$6,587.91