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 / $6,817.42	Facility		$1,159.00	$4,200.00	$6,817.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,715.01 / $3,359.33 / $7,152.80	Professional		$2,715.01	$3,359.33	$7,152.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,892.05 / $36,821.92 / $73,735.89	Facility		$16,892.05	$36,821.92	$73,735.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,821.07 / $4,577.92 / $5,803.76	Professional		$3,821.07	$4,577.92	$5,803.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,539.93	Facility		$400.00	$785.00	$3,539.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,962.48 / $4,553.06 / $6,528.95	Professional		$2,962.48	$4,553.06	$6,528.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,426.54 / $5,295.57 / $16,556.41	Professional		$3,426.54	$5,295.57	$16,556.41
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 $3,498.59 / $4,049.55 / $4,553.07	Professional		$3,498.59	$4,049.55	$4,553.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,148.47	Professional		$32.34	$32.34	$5,148.47
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 $2,924.18 / $4,077.10 / $6,932.72	Professional		$2,924.18	$4,077.10	$6,932.72