Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $6,852.46	Facility		$1,017.00	$3,636.00	$6,852.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,688.71 / $3,346.04 / $6,217.50	Professional		$2,688.71	$3,346.04	$6,217.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,420.47 / $43,680.16 / $87,469.52	Facility		$20,420.47	$43,680.16	$87,469.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,991.05 / $5,518.70 / $6,726.61	Professional		$3,991.05	$5,518.70	$6,726.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,332.81 / $4,810.17 / $6,769.87	Professional		$3,332.81	$4,810.17	$6,769.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,741.24 / $5,481.32 / $12,316.54	Professional		$3,741.24	$5,481.32	$12,316.54
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 $3,769.92 / $4,165.79 / $4,632.02	Professional		$3,769.92	$4,165.79	$4,632.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,237.74	Professional		$32.34	$32.34	$5,237.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $8,100.00 / $24,003.00	Facility		$2,600.00	$8,100.00	$24,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,050.46 / $4,194.39 / $7,380.29	Professional		$3,050.46	$4,194.39	$7,380.29