Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $5,042.60 / $9,002.95	Facility		$1,159.00	$5,042.60	$9,002.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,313.43 / $5,042.60 / $9,002.95	Professional		$4,313.43	$5,042.60	$9,002.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,356.21 / $55,272.40 / $110,682.98	Facility		$25,356.21	$55,272.40	$110,682.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,776.77 / $6,920.99 / $8,639.87	Professional		$5,776.77	$6,920.99	$8,639.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $5,349.05	Facility		$400.00	$785.00	$5,349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,614.59 / $6,897.43 / $10,304.15	Professional		$4,614.59	$6,897.43	$10,304.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,180.60 / $8,101.24 / $23,118.17	Professional		$5,180.60	$8,101.24	$23,118.17
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 $5,308.62 / $6,122.53 / $6,883.41	Professional		$5,308.62	$6,122.53	$6,883.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,783.55	Professional		$32.34	$32.34	$7,783.55
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 $4,534.85 / $6,385.47 / $11,108.25	Professional		$4,534.85	$6,385.47	$11,108.25