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 $3,311.31 / $3,890.45 / $7,943.28	Professional		$3,311.31	$3,890.45	$7,943.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $42,657.95 / $81,283.05	Facility		$15,848.93	$42,657.95	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $6,456.54	Professional		$4,365.16	$5,248.07	$6,456.54
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 $2,344.23 / $4,786.30 / $8,128.31	Professional		$2,344.23	$4,786.30	$8,128.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,760.83 / $16,982.44	Professional		$3,311.31	$6,760.83	$16,982.44
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 $3,981.07 / $4,677.35 / $5,248.07	Professional		$3,981.07	$4,677.35	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,128.61	Professional		$32.36	$33.11	$5,128.61
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 $3,162.28 / $4,466.84 / $7,762.47	Professional		$3,162.28	$4,466.84	$7,762.47