Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,039.14 / $7,522.71	Facility		$1,017.00	$4,039.14	$7,522.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,307.44 / $4,039.14 / $7,522.71	Professional		$3,307.44	$4,039.14	$7,522.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,650.41 / $52,728.16 / $105,588.14	Facility		$24,650.41	$52,728.16	$105,588.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,818.43 / $6,662.79 / $8,121.85	Professional		$4,818.43	$6,662.79	$8,121.85
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 $4,038.39 / $5,807.37 / $8,447.51	Professional		$4,038.39	$5,807.37	$8,447.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,561.28 / $6,764.52 / $15,855.21	Professional		$4,561.28	$6,764.52	$15,855.21
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 $4,540.13 / $5,029.85 / $5,592.29	Professional		$4,540.13	$5,029.85	$5,592.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,323.59	Professional		$32.34	$32.34	$6,323.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,797.87 / $5,232.39 / $8,967.98	Professional		$3,797.87	$5,232.39	$8,967.98