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 $2,425.36 / $2,908.63 / $4,463.74	Professional		$2,425.36	$2,908.63	$4,463.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,124.11 / $40,907.19 / $81,916.66	Facility		$19,124.11	$40,907.19	$81,916.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,997.57 / $5,351.45 / $5,874.52	Professional		$2,997.57	$5,351.45	$5,874.52
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 $1,783.83 / $3,524.43 / $4,711.82	Professional		$1,783.83	$3,524.43	$4,711.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.66 / $3,663.22 / $11,607.93	Professional		$2,094.66	$3,663.22	$11,607.93
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 $2,605.36 / $3,018.52 / $3,393.90	Professional		$2,605.36	$3,018.52	$3,393.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,837.71	Professional		$32.34	$32.34	$3,837.71
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 $2,124.21 / $2,998.87 / $5,878.51	Professional		$2,124.21	$2,998.87	$5,878.51