Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $4,554.26 / $8,071.42	Facility		$1,129.00	$4,554.26	$8,071.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,767.85 / $4,554.26 / $8,006.01	Professional		$3,767.85	$4,554.26	$8,006.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,900.65 / $49,919.68 / $99,964.15	Facility		$22,900.65	$49,919.68	$99,964.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,181.50 / $5,181.50 / $6,207.81	Professional		$5,181.50	$5,181.50	$6,207.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,800.85	Facility		$400.00	$785.00	$4,800.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,764.68 / $6,067.32 / $8,866.73	Professional		$3,764.68	$6,067.32	$8,866.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,602.28 / $7,181.26 / $15,945.24	Professional		$4,602.28	$7,181.26	$15,945.24
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 $4,759.07 / $5,491.55 / $6,174.10	Professional		$4,759.07	$5,491.55	$6,174.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,981.49	Professional		$32.34	$32.34	$6,981.49
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 $3,997.64 / $5,345.02 / $9,844.60	Professional		$3,997.64	$5,345.02	$9,844.60