Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,181.91 / $8,004.01	Facility		$1,017.00	$4,181.91	$8,004.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,511.74 / $4,181.91 / $6,355.03	Professional		$3,511.74	$4,181.91	$6,355.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,508.66 / $39,590.72 / $79,280.41	Facility		$18,508.66	$39,590.72	$79,280.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,149.01 / $4,965.22 / $6,641.12	Professional		$4,149.01	$4,965.22	$6,641.12
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 $3,717.35 / $5,236.89 / $7,638.00	Professional		$3,717.35	$5,236.89	$7,638.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,539.50 / $5,723.96 / $16,167.12	Professional		$3,539.50	$5,723.96	$16,167.12
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 $3,747.33 / $4,353.64 / $4,863.50	Professional		$3,747.33	$4,353.64	$4,863.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,499.49	Professional		$32.34	$32.34	$5,499.49
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 $3,727.79 / $4,937.04 / $8,634.53	Professional		$3,727.79	$4,937.04	$8,634.53