Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,200.00 / $6,224.04	Facility		$1,159.00	$4,200.00	$6,224.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,547.25 / $2,801.97 / $5,138.93	Professional		$2,547.25	$2,801.97	$5,138.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,089.42 / $30,712.64 / $61,502.06	Facility		$14,089.42	$30,712.64	$61,502.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,468.12 / $4,677.60 / $4,768.89	Professional		$3,468.12	$4,677.60	$4,768.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,064.82	Facility		$400.00	$785.00	$3,064.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,323.69 / $3,731.01 / $5,914.54	Professional		$2,323.69	$3,731.01	$5,914.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,778.50 / $4,375.06 / $11,644.32	Professional		$2,778.50	$4,375.06	$11,644.32
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 $3,216.15 / $3,385.46 / $3,722.60	Professional		$3,216.15	$3,385.46	$3,722.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,209.39	Professional		$32.34	$32.34	$4,209.39
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,642.30 / $3,617.41 / $6,115.59	Professional		$2,642.30	$3,617.41	$6,115.59