Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,379.55 / $6,181.10	Facility		$1,129.00	$3,379.55	$6,181.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,751.90 / $3,379.55 / $6,181.10	Professional		$2,751.90	$3,379.55	$6,181.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,624.97 / $44,117.60 / $88,345.49	Facility		$20,624.97	$44,117.60	$88,345.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,004.14 / $5,536.80 / $6,345.77	Professional		$4,004.14	$5,536.80	$6,345.77
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 $3,282.63 / $4,781.43 / $6,792.07	Professional		$3,282.63	$4,781.43	$6,792.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,753.51 / $5,494.44 / $11,823.95	Professional		$3,753.51	$5,494.44	$11,823.95
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 $3,816.15 / $4,177.06 / $4,647.20	Professional		$3,816.15	$4,177.06	$4,647.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,254.91	Professional		$32.34	$32.34	$5,254.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,052.02 / $4,214.52 / $7,352.56	Professional		$3,052.02	$4,214.52	$7,352.56