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 $3,510.89 / $4,067.33 / $7,345.95	Professional		$3,510.89	$4,067.33	$7,345.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,452.16 / $44,582.40 / $89,276.25	Facility		$20,452.16	$44,582.40	$89,276.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,631.10 / $5,532.73 / $6,778.25	Professional		$4,631.10	$5,532.73	$6,778.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,297.76	Facility		$400.00	$785.00	$4,297.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,011.09 / $5,434.35 / $8,127.72	Professional		$2,011.09	$5,434.35	$8,127.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,406.56 / $6,226.62 / $16,054.51	Professional		$3,406.56	$6,226.62	$16,054.51
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 $4,210.39 / $4,905.82 / $5,502.69	Professional		$4,210.39	$4,905.82	$5,502.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,222.27	Professional		$32.34	$32.34	$6,222.27
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 $3,579.60 / $5,286.22 / $9,211.35	Professional		$3,579.60	$5,286.22	$9,211.35