Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,618.20 / $3,618.20 / $3,618.20	Facility		$3,618.20	$3,618.20	$3,618.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,729.12 / $3,618.20 / $5,616.43	Professional		$2,729.12	$3,618.20	$5,616.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,735.45 / $14,778.86 / $62,899.51	Facility		$8,735.45	$14,778.86	$62,899.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $7,915.64	Facility		$4,728.96	$4,728.96	$7,915.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,728.96 / $8,475.00	Professional		$3,452.14	$4,728.96	$8,475.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,213.77 / $10,235.74 / $12,389.08	Professional		$6,213.77	$10,235.74	$12,389.08
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 $9,503.42 / $9,503.42 / $9,503.42	Professional		$9,503.42	$9,503.42	$9,503.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,126.85 / $5,895.51 / $6,190.28	Professional		$4,126.85	$5,895.51	$6,190.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,310.32 / $9,777.96 / $18,170.73	Facility		$7,310.32	$9,777.96	$18,170.73
United Facility/Professional Professional Modifier Low / Median / High Price $2,540.69 / $3,647.03 / $6,403.69	Professional		$2,540.69	$3,647.03	$6,403.69