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 / $6,250.35	Facility		$1,159.00	$4,200.00	$6,250.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,626.58 / $3,082.50 / $5,493.84	Professional		$2,626.58	$3,082.50	$5,493.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,500.06 / $33,787.60 / $67,659.66	Facility		$15,500.06	$33,787.60	$67,659.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,504.94 / $4,199.17 / $9,930.43	Professional		$3,504.94	$4,199.17	$9,930.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,246.98	Facility		$400.00	$785.00	$3,246.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,631.41 / $4,176.37 / $6,232.84	Professional		$2,631.41	$4,176.37	$6,232.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,051.96 / $4,818.89 / $12,081.19	Professional		$3,051.96	$4,818.89	$12,081.19
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 $3,204.86 / $3,714.43 / $4,176.37	Professional		$3,204.86	$3,714.43	$4,176.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,722.51	Professional		$32.34	$32.34	$4,722.51
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 $2,762.31 / $3,855.11 / $6,786.05	Professional		$2,762.31	$3,855.11	$6,786.05