Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,970.00 / $7,407.00	Facility		$1,017.00	$3,970.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,910.04 / $3,402.76 / $6,011.02	Professional		$2,910.04	$3,402.76	$6,011.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,110.45 / $37,298.00 / $74,689.24	Facility		$17,110.45	$37,298.00	$74,689.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,456.79 / $4,636.89 / $6,297.31	Professional		$3,456.79	$4,636.89	$6,297.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,584.75	Facility		$400.00	$785.00	$3,584.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,087.53 / $4,726.22 / $6,954.25	Professional		$3,087.53	$4,726.22	$6,954.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,475.46 / $5,529.14 / $12,934.16	Professional		$3,475.46	$5,529.14	$12,934.16
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 $3,552.71 / $4,107.35 / $4,611.72	Professional		$3,552.71	$4,107.35	$4,611.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,214.80	Professional		$32.34	$32.34	$5,214.80
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 $3,211.59 / $4,626.35 / $7,441.44	Professional		$3,211.59	$4,626.35	$7,441.44