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 $2,833.26 / $3,383.05 / $5,303.07	Professional		$2,833.26	$3,383.05	$5,303.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,973.01 / $32,027.84 / $64,135.74	Facility		$14,973.01	$32,027.84	$64,135.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,360.68 / $4,021.81 / $4,689.32	Professional		$3,360.68	$4,021.81	$4,689.32
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 $2,635.12 / $4,105.43 / $5,757.60	Professional		$2,635.12	$4,105.43	$5,757.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,620.71 / $4,271.67 / $16,168.87	Professional		$2,620.71	$4,271.67	$16,168.87
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 $3,019.38 / $3,518.07 / $3,939.40	Professional		$3,019.38	$3,518.07	$3,939.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,454.56	Professional		$32.34	$32.34	$4,454.56
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 $2,616.00 / $4,110.30 / $6,903.97	Professional		$2,616.00	$4,110.30	$6,903.97