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 $3,373.50 / $3,877.35 / $7,018.86	Professional		$3,373.50	$3,877.35	$7,018.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,496.87 / $42,500.00 / $85,106.25	Facility		$19,496.87	$42,500.00	$85,106.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,410.80 / $5,269.53 / $6,455.46	Professional		$4,410.80	$5,269.53	$6,455.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,091.99	Facility		$400.00	$785.00	$4,091.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,320.37 / $5,240.92 / $7,909.89	Professional		$2,320.37	$5,240.92	$7,909.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,492.34 / $5,930.10 / $15,146.47	Professional		$3,492.34	$5,930.10	$15,146.47
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 $3,992.01 / $4,672.20 / $5,240.91	Professional		$3,992.01	$4,672.20	$5,240.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,926.26	Professional		$32.34	$32.34	$5,926.26
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 $3,376.94 / $4,955.20 / $8,417.02	Professional		$3,376.94	$4,955.20	$8,417.02