Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $8,511.38	Facility		$1,148.15	$4,677.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $6,025.60	Professional		$2,630.27	$3,090.30	$6,025.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $33,884.42 / $64,565.42	Facility		$12,589.25	$33,884.42	$64,565.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $10,000.00	Professional		$3,467.37	$4,168.69	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $6,309.57	Professional		$2,290.87	$3,890.45	$6,309.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $6,165.95 / $13,803.84	Professional		$3,019.95	$6,165.95	$13,803.84
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 $3,235.94 / $3,715.35 / $4,168.69	Professional		$3,235.94	$3,715.35	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,073.80	Professional		$32.36	$33.11	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $5,888.44	Professional		$2,691.53	$3,548.13	$5,888.44