Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,004.98 / $7,723.00	Facility		$1,159.00	$4,004.98	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,418.68 / $4,004.98 / $7,166.32	Professional		$3,418.68	$4,004.98	$7,166.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,138.64 / $43,898.96 / $87,907.66	Facility		$20,138.64	$43,898.96	$87,907.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,544.05 / $5,444.10 / $6,813.18	Professional		$4,544.05	$5,444.10	$6,813.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,232.83	Facility		$400.00	$785.00	$4,232.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,641.53 / $5,570.84 / $8,272.23	Professional		$3,641.53	$5,570.84	$8,272.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,085.29 / $6,499.33 / $15,104.84	Professional		$4,085.29	$6,499.33	$15,104.84
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 $4,167.25 / $4,828.07 / $5,414.54	Professional		$4,167.25	$4,828.07	$5,414.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,122.59	Professional		$32.34	$32.34	$6,122.59
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 $3,764.85 / $5,454.34 / $8,785.41	Professional		$3,764.85	$5,454.34	$8,785.41