Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $10,471.29	Facility		$5,128.61	$5,128.61	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $10,232.93	Professional		$4,466.84	$5,248.07	$10,232.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $19,952.62 / $70,794.58	Facility		$12,302.69	$19,952.62	$70,794.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $11,481.54	Facility		$6,606.93	$6,606.93	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $11,220.18	Professional		$4,897.79	$4,897.79	$11,220.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,232.93 / $12,589.25	Professional		$8,511.38	$10,232.93	$12,589.25
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 $13,489.63 / $13,489.63 / $13,489.63	Professional		$13,489.63	$13,489.63	$13,489.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $8,912.51	Professional		$6,309.57	$6,309.57	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,317.64 / $15,135.61	Facility		$6,165.95	$8,317.64	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $7,943.28	Professional		$3,890.45	$5,128.61	$7,943.28