Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,039.90 / $3,620.79 / $5,742.61	Professional		$3,039.90	$3,620.79	$5,742.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,025.22 / $34,278.56 / $68,642.81	Facility		$16,025.22	$34,278.56	$68,642.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,629.56 / $4,300.58 / $5,025.91	Professional		$3,629.56	$4,300.58	$5,025.91
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 $2,963.98 / $4,427.64 / $7,171.10	Professional		$2,963.98	$4,427.64	$7,171.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,045.48 / $4,959.79 / $11,803.87	Professional		$3,045.48	$4,959.79	$11,803.87
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 $3,262.22 / $3,770.60 / $4,212.47	Professional		$3,262.22	$3,770.60	$4,212.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,763.33	Professional		$32.34	$32.34	$4,763.33
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 $3,096.49 / $4,213.35 / $7,450.15	Professional		$3,096.49	$4,213.35	$7,450.15