Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.50 / $2,990.86 / $5,580.00	Facility		$964.50	$2,990.86	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.43 / $1,522.72 / $2,938.71	Professional		$1,328.43	$1,522.72	$2,938.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39,270.00 / $84,000.00 / $168,210.00	Facility		$39,270.00	$84,000.00	$168,210.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,500.00 / $10,500.00 / $10,500.00	Professional		$10,500.00	$10,500.00	$10,500.00
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 $1,370.99 / $2,167.90 / $3,214.85	Professional		$1,370.99	$2,167.90	$3,214.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.73 / $2,512.50 / $12,280.32	Professional		$1,625.73	$2,512.50	$12,280.32
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 $1,852.20 / $1,921.32 / $2,087.61	Professional		$1,852.20	$1,921.32	$2,087.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,360.60	Professional		$32.34	$32.34	$2,360.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,467.98 / $2,004.19 / $3,333.17	Professional		$1,467.98	$2,004.19	$3,333.17