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 / $6,659.00	Facility		$1,159.00	$4,200.00	$6,659.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.71 / $2,318.66 / $4,245.20	Professional		$1,931.71	$2,318.66	$4,245.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,659.14 / $25,415.04 / $50,893.61	Facility		$11,659.14	$25,415.04	$50,893.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,667.43 / $3,179.56 / $3,969.80	Professional		$2,667.43	$3,179.56	$3,969.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,524.85	Facility		$400.00	$785.00	$2,524.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.64 / $3,162.29 / $4,840.09	Professional		$1,967.64	$3,162.29	$4,840.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,405.07 / $3,716.93 / $8,509.53	Professional		$2,405.07	$3,716.93	$8,509.53
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 $2,531.31 / $2,842.36 / $3,162.29	Professional		$2,531.31	$2,842.36	$3,162.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,575.82	Professional		$32.34	$32.34	$3,575.82
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 $2,188.62 / $2,966.49 / $5,200.03	Professional		$2,188.62	$2,966.49	$5,200.03