Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,011.87 / $9,772.37	Facility		$1,148.15	$5,011.87	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $11,220.18	Professional		$4,265.80	$5,011.87	$11,220.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $54,954.09 / $107,151.93	Facility		$20,417.38	$54,954.09	$107,151.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,918.31 / $8,709.64	Professional		$5,754.40	$6,918.31	$8,709.64
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 $3,981.07 / $6,456.54 / $10,471.29	Professional		$3,981.07	$6,456.54	$10,471.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $13,182.57 / $26,915.35	Professional		$5,128.61	$13,182.57	$26,915.35
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 $5,248.07 / $6,165.95 / $6,918.31	Professional		$5,248.07	$6,165.95	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $6,606.93	Professional		$32.36	$33.11	$6,606.93
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 $4,466.84 / $5,888.44 / $9,772.37	Professional		$4,466.84	$5,888.44	$9,772.37