Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,169.43 / $7,407.00	Facility		$1,159.00	$4,169.43	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,225.31 / $4,169.43 / $6,807.67	Professional		$3,225.31	$4,169.43	$6,807.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,744.62 / $48,651.60 / $97,424.82	Facility		$22,744.62	$48,651.60	$97,424.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,433.57 / $6,391.65 / $6,761.51	Professional		$4,433.57	$6,391.65	$6,761.51
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 $2,119.83 / $5,291.17 / $7,446.83	Professional		$2,119.83	$5,291.17	$7,446.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,159.20 / $5,765.68 / $18,008.48	Professional		$3,159.20	$5,765.68	$18,008.48
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 $3,900.85 / $4,542.66 / $5,095.21	Professional		$3,900.85	$4,542.66	$5,095.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,879.09	Professional		$32.34	$32.34	$5,879.09
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 $3,520.69 / $4,900.51 / $8,336.09	Professional		$3,520.69	$4,900.51	$8,336.09