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 $2,841.12 / $3,398.45 / $5,266.39	Professional		$2,841.12	$3,398.45	$5,266.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,041.15 / $32,173.60 / $64,427.63	Facility		$15,041.15	$32,173.60	$64,427.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,411.13 / $4,041.77 / $4,704.60	Professional		$3,411.13	$4,041.77	$4,704.60
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 $3,009.00 / $4,154.52 / $6,500.67	Professional		$3,009.00	$4,154.52	$6,500.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,883.81 / $4,479.80 / $16,770.70	Professional		$2,883.81	$4,479.80	$16,770.70
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 $3,042.07 / $3,529.54 / $3,958.96	Professional		$3,042.07	$3,529.54	$3,958.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,476.66	Professional		$32.34	$32.34	$4,476.66
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 $2,967.56 / $4,035.34 / $6,884.00	Professional		$2,967.56	$4,035.34	$6,884.00