Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,357.38 / $6,139.56	Facility		$1,129.00	$3,357.38	$6,139.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,733.44 / $3,357.38 / $6,139.56	Professional		$2,733.44	$3,357.38	$6,139.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,489.70 / $43,828.24 / $87,766.05	Facility		$20,489.70	$43,828.24	$87,766.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,978.05 / $5,500.73 / $6,700.49	Professional		$3,978.05	$5,500.73	$6,700.49
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 $3,011.66 / $4,616.93 / $6,717.66	Professional		$3,011.66	$4,616.93	$6,717.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,551.48 / $5,426.42 / $12,274.89	Professional		$3,551.48	$5,426.42	$12,274.89
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 $3,790.35 / $4,149.60 / $4,616.92	Professional		$3,790.35	$4,149.60	$4,616.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,220.68	Professional		$32.34	$32.34	$5,220.68
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 $2,843.39 / $3,790.56 / $7,302.89	Professional		$2,843.39	$3,790.56	$7,302.89