Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $5,071.50	Facility		$3,864.00	$3,864.00	$5,071.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $4,105.50	Professional		$3,864.00	$3,864.00	$4,105.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,400.00 / $12,835.20 / $63,604.80	Facility		$8,400.00	$12,835.20	$63,604.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,028.60 / $2,028.60 / $2,028.60	Professional		$2,028.60	$2,028.60	$2,028.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $3,309.00 / $4,179.00	Professional		$345.40	$3,309.00	$4,179.00
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 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,369.26	Professional		$4,200.00	$4,200.00	$4,369.26