Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,089.64 / $5,089.64 / $5,089.64	Facility		$5,089.64	$5,089.64	$5,089.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,482.18 / $5,089.64 / $8,437.04	Professional		$4,482.18	$5,089.64	$8,437.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,287.52 / $20,788.32 / $88,479.44	Facility		$12,287.52	$20,788.32	$88,479.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $6,652.12 / $11,248.73	Facility		$6,652.12	$6,652.12	$11,248.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $6,652.12 / $11,921.25	Professional		$4,856.05	$6,652.12	$11,921.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,740.76 / $10,283.25 / $12,663.00	Professional		$8,740.76	$10,283.25	$12,663.00
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 $13,368.23 / $13,368.23 / $13,368.23	Professional		$13,368.23	$13,368.23	$13,368.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,266.45 / $8,952.08 / $9,399.68	Professional		$6,266.45	$8,952.08	$9,399.68
United Facility/Professional Professional Modifier Low / Median / High Price $3,834.71 / $5,130.20 / $9,084.20	Professional		$3,834.71	$5,130.20	$9,084.20