Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,322.14 / $5,322.14 / $5,322.14	Facility		$5,322.14	$5,322.14	$5,322.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,625.13 / $5,322.14 / $9,002.44	Professional		$4,625.13	$5,322.14	$9,002.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,848.79 / $21,737.89 / $92,521.41	Facility		$12,848.79	$21,737.89	$92,521.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,172.30 / $8,172.30 / $8,172.30	Professional		$8,172.30	$8,172.30	$8,172.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $11,120.11	Facility		$7,503.37	$7,503.37	$11,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $7,503.37 / $12,466.13	Professional		$5,477.46	$7,503.37	$12,466.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9,140.07 / $11,833.20 / $15,054.23	Professional		$9,140.07	$11,833.20	$15,054.23
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 $13,978.93 / $13,978.93 / $13,978.93	Professional		$13,978.93	$13,978.93	$13,978.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,552.72 / $9,361.04 / $9,829.09	Professional		$6,552.72	$9,361.04	$9,829.09
United Facility/Professional Professional Modifier Low / Median / High Price $3,916.55 / $5,364.56 / $9,209.17	Professional		$3,916.55	$5,364.56	$9,209.17