Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $8,709.64	Facility		$4,265.80	$4,265.80	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,365.16 / $7,413.10	Professional		$3,630.78	$4,365.16	$7,413.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $14,125.38 / $85,113.80	Facility		$10,471.29	$14,125.38	$85,113.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $9,332.54	Facility		$4,786.30	$4,786.30	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $9,120.11	Professional		$4,073.80	$4,073.80	$9,120.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $9,772.37 / $12,589.25	Professional		$7,244.36	$9,772.37	$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 $11,220.18 / $11,220.18 / $11,220.18	Professional		$11,220.18	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $5,888.44	Professional		$4,168.69	$4,168.69	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,918.31 / $12,302.69	Facility		$5,011.87	$6,918.31	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $6,456.54	Professional		$3,311.31	$4,265.80	$6,456.54