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 / $7,231.76	Facility		$1,159.00	$3,636.00	$7,231.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,795.55 / $3,614.04 / $6,051.68	Professional		$2,795.55	$3,614.04	$6,051.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,714.88 / $42,170.88 / $84,447.18	Facility		$19,714.88	$42,170.88	$84,447.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,839.31 / $5,534.95 / $5,854.95	Professional		$3,839.31	$5,534.95	$5,854.95
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 $2,203.14 / $4,581.97 / $6,373.95	Professional		$2,203.14	$4,581.97	$6,373.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,940.44 / $5,018.29 / $13,062.67	Professional		$2,940.44	$5,018.29	$13,062.67
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 $3,361.19 / $3,933.59 / $4,412.27	Professional		$3,361.19	$3,933.59	$4,412.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,091.08	Professional		$32.34	$32.34	$5,091.08
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 $2,931.15 / $4,235.92 / $7,108.04	Professional		$2,931.15	$4,235.92	$7,108.04