Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $9,772.37	Facility		$1,148.15	$4,677.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $7,244.36	Professional		$2,818.38	$3,715.35	$7,244.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $40,738.03 / $77,624.71	Facility		$15,135.61	$40,738.03	$77,624.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $6,025.60	Professional		$4,168.69	$5,011.87	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $7,585.78	Professional		$2,570.40	$4,168.69	$7,585.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,456.54 / $13,803.84	Professional		$3,235.94	$6,456.54	$13,803.84
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 $3,801.89 / $4,365.16 / $4,897.79	Professional		$3,801.89	$4,365.16	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,897.79	Professional		$32.36	$33.11	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $6,918.31	Professional		$2,951.21	$3,981.07	$6,918.31