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 / $9,772.37	Facility		$1,148.15	$4,677.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $7,413.10	Professional		$3,235.94	$3,801.89	$7,413.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $41,686.94 / $79,432.82	Facility		$15,488.17	$41,686.94	$79,432.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $12,302.69	Professional		$4,365.16	$5,248.07	$12,302.69
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 $2,818.38 / $4,786.30 / $7,762.47	Professional		$2,818.38	$4,786.30	$7,762.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,760.83 / $15,848.93	Professional		$3,548.13	$6,760.83	$15,848.93
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 $3,981.07 / $4,570.88 / $5,128.61	Professional		$3,981.07	$4,570.88	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,011.87	Professional		$32.36	$33.11	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $7,413.10	Facility		$575.44	$2,884.03	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $7,413.10	Professional		$3,311.31	$4,265.80	$7,413.10