Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,721.22 / $5,549.00	Facility		$1,207.00	$3,721.22	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,503.42 / $2,809.84 / $5,208.45	Professional		$2,503.42	$2,809.84	$5,208.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,128.98 / $30,798.88 / $61,674.75	Facility		$14,128.98	$30,798.88	$61,674.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,181.34 / $3,811.47 / $4,876.39	Professional		$3,181.34	$3,811.47	$4,876.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,111.12	Facility		$400.00	$785.00	$3,111.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,650.68 / $3,936.58 / $5,990.75	Professional		$2,650.68	$3,936.58	$5,990.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,923.82 / $4,518.63 / $12,070.08	Professional		$2,923.82	$4,518.63	$12,070.08
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 $3,162.47 / $3,455.43 / $3,790.77	Professional		$3,162.47	$3,455.43	$3,790.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,286.49	Professional		$32.34	$32.34	$4,286.49
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 $2,717.88 / $3,696.95 / $6,306.23	Professional		$2,717.88	$3,696.95	$6,306.23