Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,323.62 / $7,407.00	Facility		$1,017.00	$4,323.62	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,604.94 / $4,323.62 / $6,903.98	Professional		$3,604.94	$4,323.62	$6,903.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,135.84 / $40,932.32 / $81,966.97	Facility		$19,135.84	$40,932.32	$81,966.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,337.21 / $5,139.05 / $5,981.61	Professional		$4,337.21	$5,139.05	$5,981.61
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 $3,831.71 / $5,407.18 / $8,271.64	Professional		$3,831.71	$5,407.18	$8,271.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,624.59 / $5,921.66 / $14,456.11	Professional		$3,624.59	$5,921.66	$14,456.11
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 $3,825.45 / $4,487.59 / $5,033.77	Professional		$3,825.45	$4,487.59	$5,033.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,692.03	Professional		$32.34	$32.34	$5,692.03
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 $3,807.65 / $5,319.17 / $9,694.36	Professional		$3,807.65	$5,319.17	$9,694.36