Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,022.26 / $11,776.06 / $32,153.00	Facility		$5,022.26	$11,776.06	$32,153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,486.92 / $5,022.26 / $8,136.70	Professional		$4,486.92	$5,022.26	$8,136.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,125.34 / $20,513.93 / $87,308.14	Facility		$12,125.34	$20,513.93	$87,308.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,738.32 / $7,711.81 / $7,711.81	Professional		$6,738.32	$7,711.81	$7,711.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $10,753.52	Facility		$7,957.05	$7,957.05	$10,753.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $7,885.46 / $11,763.75	Professional		$6,763.49	$7,885.46	$11,763.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8,625.04 / $11,555.74 / $14,205.97	Professional		$8,625.04	$11,555.74	$14,205.97
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 $13,191.26 / $13,191.26 / $13,191.26	Professional		$13,191.26	$13,191.26	$13,191.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,882.18 / $6,974.55 / $7,323.27	Professional		$4,882.18	$6,974.55	$7,323.27
United Facility/Professional Facility Modifier Low / Median / High Price $10,147.12 / $14,325.92 / $26,622.34	Facility		$10,147.12	$14,325.92	$26,622.34
United Facility/Professional Professional Modifier Low / Median / High Price $3,863.28 / $5,062.29 / $8,888.69	Professional		$3,863.28	$5,062.29	$8,888.69