Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,262.78 / $4,262.78 / $4,262.78	Facility		$4,262.78	$4,262.78	$4,262.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,833.27 / $4,262.78 / $6,863.82	Professional		$3,833.27	$4,262.78	$6,863.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,368.71 / $41,471.15 / $90,453.82	Facility		$11,368.71	$41,471.15	$90,453.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $9,102.84	Facility		$4,751.45	$4,751.45	$9,102.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,751.45 / $9,984.75	Professional		$4,038.73	$4,751.45	$9,984.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,751.40 / $9,702.02 / $12,057.72	Professional		$7,751.40	$9,702.02	$12,057.72
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 $11,196.46 / $11,196.46 / $11,196.46	Professional		$11,196.46	$11,196.46	$11,196.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,143.89 / $5,919.85 / $6,215.84	Professional		$4,143.89	$5,919.85	$6,215.84
United Facility/Professional Professional Modifier Low / Median / High Price $3,279.06 / $4,296.76 / $7,376.11	Professional		$3,279.06	$4,296.76	$7,376.11