Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,298.30 / $4,298.30 / $8,684.41	Facility		$4,298.30	$4,298.30	$8,684.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,785.25 / $4,298.30 / $7,125.19	Professional		$3,785.25	$4,298.30	$7,125.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,376.34 / $17,554.93 / $74,722.63	Facility		$10,376.34	$17,554.93	$74,722.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,600.15 / $6,600.15 / $6,600.15	Professional		$6,600.15	$6,600.15	$6,600.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $9,505.94	Facility		$6,042.00	$6,042.00	$9,505.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $6,042.00 / $10,068.00	Professional		$4,410.66	$6,042.00	$10,068.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,381.75 / $9,987.07 / $12,158.17	Professional		$7,381.75	$9,987.07	$12,158.17
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 $11,289.73 / $11,289.73 / $11,289.73	Professional		$11,289.73	$11,289.73	$11,289.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,292.14 / $7,560.21 / $7,938.22	Professional		$5,292.14	$7,560.21	$7,938.22
United Facility/Professional Professional Modifier Low / Median / High Price $3,460.91 / $4,332.56 / $7,437.57	Professional		$3,460.91	$4,332.56	$7,437.57