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 / $9,691.00	Facility		$1,159.00	$3,636.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,712.32 / $3,237.45 / $5,052.59	Professional		$2,712.32	$3,237.45	$5,052.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,328.57 / $30,649.36 / $61,375.34	Facility		$14,328.57	$30,649.36	$61,375.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,260.31 / $3,863.06 / $4,503.99	Professional		$3,260.31	$3,863.06	$4,503.99
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 $2,534.58 / $3,954.81 / $6,295.42	Professional		$2,534.58	$3,954.81	$6,295.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,459.29 / $4,158.82 / $10,465.50	Professional		$2,459.29	$4,158.82	$10,465.50
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 $2,906.44 / $3,379.04 / $3,783.92	Professional		$2,906.44	$3,379.04	$3,783.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,278.74	Professional		$32.34	$32.34	$4,278.74
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 $2,610.81 / $3,941.25 / $7,073.90	Professional		$2,610.81	$3,941.25	$7,073.90