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 / $6,364.56	Facility		$1,159.00	$4,200.00	$6,364.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,586.30 / $3,091.61 / $5,265.22	Professional		$2,586.30	$3,091.61	$5,265.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,718.49 / $34,263.76 / $68,613.17	Facility		$15,718.49	$34,263.76	$68,613.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,177.57 / $3,931.74 / $5,406.38	Professional		$3,177.57	$3,931.74	$5,406.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,301.00	Facility		$400.00	$785.00	$3,301.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,760.68 / $4,244.74 / $6,330.24	Professional		$2,760.68	$4,244.74	$6,330.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,194.73 / $4,937.31 / $22,223.13	Professional		$3,194.73	$4,937.31	$22,223.13
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 $3,281.16 / $3,775.59 / $4,244.72	Professional		$3,281.16	$3,775.59	$4,244.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,799.81	Professional		$32.34	$32.34	$4,799.81
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 $2,723.14 / $3,790.29 / $6,306.99	Professional		$2,723.14	$3,790.29	$6,306.99