Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,766.57 / $7,407.00	Facility		$1,129.00	$3,766.57	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.70 / $3,766.57 / $5,975.39	Professional		$3,162.70	$3,766.57	$5,975.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,670.41 / $35,658.64 / $71,406.42	Facility		$16,670.41	$35,658.64	$71,406.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,774.71 / $4,472.56 / $5,982.17	Professional		$3,774.71	$4,472.56	$5,982.17
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 $2,951.59 / $4,599.99 / $7,397.86	Professional		$2,951.59	$4,599.99	$7,397.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,992.71 / $4,826.53 / $15,194.40	Professional		$2,992.71	$4,826.53	$15,194.40
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 $3,383.07 / $3,921.55 / $4,380.93	Professional		$3,383.07	$3,921.55	$4,380.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,953.83	Professional		$32.34	$32.34	$4,953.83
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 $3,215.22 / $4,599.99 / $7,735.82	Professional		$3,215.22	$4,599.99	$7,735.82