Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $5,091.00 / $8,318.20	Facility		$1,129.00	$5,091.00	$8,318.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,313.05 / $5,157.31 / $8,168.39	Professional		$4,313.05	$5,157.31	$8,168.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,825.66 / $48,824.96 / $97,771.98	Facility		$22,825.66	$48,824.96	$97,771.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,124.55 / $6,132.68 / $7,149.63	Professional		$5,124.55	$6,132.68	$7,149.63
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 $2,311.23 / $6,238.07 / $8,779.51	Professional		$2,311.23	$6,238.07	$8,779.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,738.53 / $6,488.23 / $16,538.02	Professional		$2,738.53	$6,488.23	$16,538.02
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 $4,592.63 / $5,363.88 / $6,007.03	Professional		$4,592.63	$5,363.88	$6,007.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,792.56	Professional		$32.34	$32.34	$6,792.56
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 $2,082.30 / $5,820.33 / $10,631.66	Professional		$2,082.30	$5,820.33	$10,631.66