Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $5,389.00 / $11,187.60	Facility		$1,159.00	$5,389.00	$11,187.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,176.14 / $6,394.30 / $11,837.30	Professional		$5,176.14	$6,394.30	$11,837.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,789.25 / $76,554.56 / $153,300.50	Facility		$35,789.25	$76,554.56	$153,300.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,245.38 / $9,498.75 / $11,588.26	Professional		$7,245.38	$9,498.75	$11,588.26
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 $5,630.63 / $8,732.41 / $12,515.20	Professional		$5,630.63	$8,732.41	$12,515.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6,343.44 / $9,896.73 / $23,090.12	Professional		$6,343.44	$9,896.73	$23,090.12
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 $6,388.63 / $7,496.79 / $8,408.99	Professional		$6,388.63	$7,496.79	$8,408.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $9,702.68	Professional		$32.34	$32.34	$9,702.68
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 $5,824.70 / $8,737.06 / $14,497.03	Professional		$5,824.70	$8,737.06	$14,497.03