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 / $6,336.39	Facility		$1,159.00	$4,200.00	$6,336.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,660.29 / $3,115.18 / $5,546.25	Professional		$2,660.29	$3,115.18	$5,546.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,664.36 / $34,145.76 / $68,376.88	Facility		$15,664.36	$34,145.76	$68,376.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,578.86 / $4,231.39 / $5,351.68	Professional		$3,578.86	$4,231.39	$5,351.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,279.28	Facility		$400.00	$785.00	$3,279.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,829.16 / $4,208.41 / $6,303.80	Professional		$2,829.16	$4,208.41	$6,303.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,167.32 / $4,894.95 / $12,036.17	Professional		$3,167.32	$4,894.95	$12,036.17
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 $3,244.38 / $3,743.19 / $4,208.41	Professional		$3,244.38	$3,743.19	$4,208.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,758.74	Professional		$32.34	$32.34	$4,758.74
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 $2,876.42 / $3,837.69 / $6,850.95	Professional		$2,876.42	$3,837.69	$6,850.95