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 / $6,362.77	Facility		$1,159.00	$4,200.00	$6,362.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,671.15 / $3,127.55 / $5,569.44	Professional		$2,671.15	$3,127.55	$5,569.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,726.57 / $34,281.36 / $68,648.42	Facility		$15,726.57	$34,281.36	$68,648.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,594.77 / $4,250.18 / $6,450.50	Professional		$3,594.77	$4,250.18	$6,450.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $3,293.81	Facility		$400.00	$785.00	$3,293.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,841.66 / $4,227.10 / $6,324.32	Professional		$2,841.66	$4,227.10	$6,324.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,181.37 / $4,916.66 / $12,087.03	Professional		$3,181.37	$4,916.66	$12,087.03
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 $3,258.52 / $3,759.80 / $4,227.12	Professional		$3,258.52	$3,759.80	$4,227.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,779.89	Professional		$32.34	$32.34	$4,779.89
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 $2,901.34 / $3,958.79 / $6,878.94	Professional		$2,901.34	$3,958.79	$6,878.94