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 $3,467.37 / $4,073.80 / $8,128.31	Professional		$3,467.37	$4,073.80	$8,128.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $44,668.36 / $85,113.80	Facility		$16,595.87	$44,668.36	$85,113.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $6,760.83	Professional		$4,677.35	$5,495.41	$6,760.83
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 $1,995.26 / $5,128.61 / $8,511.38	Professional		$1,995.26	$5,128.61	$8,511.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $7,244.36 / $18,197.01	Professional		$3,388.44	$7,244.36	$18,197.01
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 $4,168.69 / $4,897.79 / $5,495.41	Professional		$4,168.69	$4,897.79	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,370.32	Professional		$32.36	$33.11	$5,370.32
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 / $4,677.35 / $7,943.28	Professional		$3,162.28	$4,677.35	$7,943.28