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 / $5,659.31	Facility		$1,159.00	$3,636.00	$5,659.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,185.04 / $2,824.92 / $4,621.60	Professional		$2,185.04	$2,824.92	$4,621.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,410.18 / $32,962.96 / $66,008.32	Facility		$15,410.18	$32,962.96	$66,008.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,004.62 / $4,331.60 / $4,581.87	Professional		$3,004.62	$4,331.60	$4,581.87
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 $1,969.59 / $3,585.82 / $5,046.71	Professional		$1,969.59	$3,585.82	$5,046.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,508.38 / $3,975.91 / $9,848.16	Professional		$2,508.38	$3,975.91	$9,848.16
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 $2,646.35 / $3,078.28 / $3,453.01	Professional		$2,646.35	$3,078.28	$3,453.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,984.24	Professional		$32.34	$32.34	$3,984.24
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 $2,462.65 / $3,491.61 / $6,417.30	Professional		$2,462.65	$3,491.61	$6,417.30