Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,598.04 / $8,168.30	Facility		$1,159.00	$4,598.04	$8,168.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,928.58 / $4,598.04 / $8,168.30	Professional		$3,928.58	$4,598.04	$8,168.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,120.77 / $50,399.52 / $100,925.03	Facility		$23,120.77	$50,399.52	$100,925.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,242.09 / $6,280.41 / $7,840.55	Professional		$5,242.09	$6,280.41	$7,840.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,856.28	Facility		$400.00	$785.00	$4,856.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,061.63 / $6,246.31 / $9,073.00	Professional		$4,061.63	$6,246.31	$9,073.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,701.31 / $7,351.42 / $21,001.05	Professional		$4,701.31	$7,351.42	$21,001.05
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 $4,826.16 / $5,556.10 / $6,246.31	Professional		$4,826.16	$5,556.10	$6,246.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,063.13	Professional		$32.34	$32.34	$7,063.13
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 $4,049.07 / $5,552.85 / $10,129.99	Professional		$4,049.07	$5,552.85	$10,129.99