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 / $7,407.00	Facility		$1,159.00	$4,200.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,737.82 / $3,596.99 / $5,933.97	Professional		$2,737.82	$3,596.99	$5,933.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,664.62 / $40,685.83 / $81,473.39	Facility		$18,664.62	$40,685.83	$81,473.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,161.47 / $4,971.66 / $6,090.54	Professional		$4,161.47	$4,971.66	$6,090.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,904.99	Facility		$400.00	$785.00	$3,904.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,856.59 / $4,754.47 / $6,958.72	Professional		$2,856.59	$4,754.47	$6,958.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,340.55 / $5,594.89 / $12,377.15	Professional		$3,340.55	$5,594.89	$12,377.15
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 $3,783.69 / $4,408.09 / $4,944.67	Professional		$3,783.69	$4,408.09	$4,944.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,591.28	Professional		$32.34	$32.34	$5,591.28
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 $3,089.09 / $4,288.53 / $8,316.41	Professional		$3,089.09	$4,288.53	$8,316.41