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 $3,190.90 / $3,844.62 / $6,839.48	Professional		$3,190.90	$3,844.62	$6,839.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,332.31 / $42,141.28 / $84,387.91	Facility		$19,332.31	$42,141.28	$84,387.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,227.70 / $13,334.82 / $16,886.06	Professional		$4,227.70	$13,334.82	$16,886.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,934.65 / $6,153.19 / $17,619.77	Professional		$3,934.65	$6,153.19	$17,619.77
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 $4,043.91 / $4,650.04 / $5,228.20	Professional		$4,043.91	$4,650.04	$5,228.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,911.88	Professional		$32.34	$32.34	$5,911.88
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 $3,429.30 / $4,789.92 / $8,354.04	Professional		$3,429.30	$4,789.92	$8,354.04