Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,673.04 / $4,673.04 / $4,673.04	Facility		$4,673.04	$4,673.04	$4,673.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,443.02 / $4,673.04 / $7,573.52	Professional		$4,443.02	$4,673.04	$7,573.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,209.45 / $46,200.34 / $168,720.64	Facility		$25,209.45	$46,200.34	$168,720.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $7,551.49 / $7,551.49	Facility		$7,551.49	$7,551.49	$7,551.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $6,654.66 / $9,742.50	Professional		$6,418.77	$6,654.66	$9,742.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33,144.83 / $41,002.76 / $47,780.70	Professional		$33,144.83	$41,002.76	$47,780.70
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,768.14 / $5,901.75 / $13,952.03	Professional		$4,768.14	$5,901.75	$13,952.03