Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.00 / $4,067.15 / $6,540.00	Facility		$1,158.00	$4,067.15	$6,540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.16 / $2,433.56 / $4,562.78	Professional		$1,821.16	$2,433.56	$4,562.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,751.57 / $33,693.19 / $67,470.63	Facility		$15,751.57	$33,693.19	$67,470.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,100.58 / $4,287.38 / $5,022.08	Professional		$3,100.58	$4,287.38	$5,022.08
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 $2,085.84 / $3,588.66 / $4,927.22	Professional		$2,085.84	$3,588.66	$4,927.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,646.89 / $4,186.77 / $8,970.71	Professional		$2,646.89	$4,186.77	$8,970.71
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 $2,548.86 / $3,110.17 / $3,598.53	Professional		$2,548.86	$3,110.17	$3,598.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,069.11	Professional		$32.34	$32.34	$4,069.11
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 $2,075.08 / $2,859.29 / $5,458.00	Professional		$2,075.08	$2,859.29	$5,458.00