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 / $7,407.00	Facility		$1,159.00	$4,200.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,258.26 / $3,811.82 / $6,751.16	Professional		$3,258.26	$3,811.82	$6,751.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,167.34 / $41,781.68 / $83,667.81	Facility		$19,167.34	$41,781.68	$83,667.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,338.93 / $5,198.37 / $5,198.37	Professional		$4,338.93	$5,198.37	$5,198.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,019.92	Facility		$400.00	$785.00	$4,019.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,202.71 / $5,090.60 / $7,476.81	Professional		$3,202.71	$5,090.60	$7,476.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,730.64 / $5,857.03 / $14,012.37	Professional		$3,730.64	$5,857.03	$14,012.37
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 $3,996.33 / $4,598.41 / $5,170.14	Professional		$3,996.33	$4,598.41	$5,170.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,846.25	Professional		$32.34	$32.34	$5,846.25
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 $3,396.09 / $4,561.35 / $8,369.45	Professional		$3,396.09	$4,561.35	$8,369.45