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 / $6,198.31	Facility		$1,159.00	$4,200.00	$6,198.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,613.69 / $3,051.88 / $5,517.85	Professional		$2,613.69	$3,051.88	$5,517.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,346.06 / $33,451.92 / $66,987.46	Facility		$15,346.06	$33,451.92	$66,987.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,476.36 / $4,153.17 / $5,088.18	Professional		$3,476.36	$4,153.17	$5,088.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,227.34	Facility		$400.00	$785.00	$3,227.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,054.69 / $4,106.04 / $6,157.15	Professional		$2,054.69	$4,106.04	$6,157.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.83 / $4,674.10 / $12,147.32	Professional		$2,835.83	$4,674.10	$12,147.32
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 $3,166.61 / $3,682.63 / $4,130.62	Professional		$3,166.61	$3,682.63	$4,130.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,670.78	Professional		$32.34	$32.34	$4,670.78
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,695.32 / $3,825.09 / $6,591.45	Professional		$2,695.32	$3,825.09	$6,591.45