Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $6,416.62	Facility		$1,159.00	$3,636.00	$6,416.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,516.17 / $3,182.09 / $5,300.50	Professional		$2,516.17	$3,182.09	$5,300.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,358.57 / $37,130.64 / $74,354.10	Facility		$17,358.57	$37,130.64	$74,354.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,333.55 / $3,333.55 / $4,805.81	Professional		$3,333.55	$3,333.55	$4,805.81
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 $2,519.64 / $3,978.37 / $5,751.96	Professional		$2,519.64	$3,978.37	$5,751.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,946.94 / $4,508.82 / $11,561.36	Professional		$2,946.94	$4,508.82	$11,561.36
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 $3,285.53 / $3,490.21 / $3,831.02	Professional		$3,285.53	$3,490.21	$3,831.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,420.41	Professional		$32.34	$32.34	$4,420.41
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,879.41 / $3,967.16 / $6,606.82	Professional		$2,879.41	$3,967.16	$6,606.82