Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,677.35 / $8,511.38	Facility		$1,148.15	$4,677.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $6,165.95	Professional		$2,630.27	$3,162.28	$6,165.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $34,673.69 / $66,069.34	Facility		$12,589.25	$34,673.69	$66,069.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,456.54	Professional		$3,630.78	$4,265.80	$6,456.54
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 $2,511.89 / $3,981.07 / $6,456.54	Professional		$2,511.89	$3,981.07	$6,456.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,495.41 / $13,489.63	Professional		$3,162.28	$5,495.41	$13,489.63
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 $3,235.94 / $3,801.89 / $4,265.80	Professional		$3,235.94	$3,801.89	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,073.80	Professional		$32.36	$33.11	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,025.60	Professional		$2,754.23	$3,630.78	$6,025.60