Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,816.97 / $8,703.26	Facility		$1,159.00	$4,816.97	$8,703.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,158.54 / $4,816.97 / $8,703.26	Professional		$4,158.54	$4,816.97	$8,703.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,221.70 / $52,799.36 / $105,730.71	Facility		$24,221.70	$52,799.36	$105,730.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,913.83 / $6,547.72 / $8,021.73	Professional		$4,913.83	$6,547.72	$8,021.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $5,083.51	Facility		$400.00	$785.00	$5,083.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,368.01 / $6,491.90 / $9,721.68	Professional		$2,368.01	$6,491.90	$9,721.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,007.49 / $7,368.92 / $19,577.38	Professional		$4,007.49	$7,368.92	$19,577.38
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 $4,964.39 / $5,805.81 / $6,512.17	Professional		$4,964.39	$5,805.81	$6,512.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,363.76	Professional		$32.34	$32.34	$7,363.76
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 $4,066.78 / $6,012.01 / $10,463.02	Professional		$4,066.78	$6,012.01	$10,463.02