Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,636.00 / $9,487.43	Facility		$1,207.00	$3,636.00	$9,487.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,345.43 / $5,229.91 / $9,487.43	Professional		$4,345.43	$5,229.91	$9,487.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,759.40 / $58,331.12 / $116,808.06	Facility		$26,759.40	$58,331.12	$116,808.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,079.34 / $7,246.54 / $8,952.03	Professional		$6,079.34	$7,246.54	$8,952.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $5,597.96	Facility		$400.00	$785.00	$5,597.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,209.14 / $7,156.57 / $10,753.51	Professional		$4,209.14	$7,156.57	$10,753.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.83 / $8,166.77 / $19,748.81	Professional		$5,250.83	$8,166.77	$19,748.81
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 $5,501.85 / $6,409.62 / $7,207.20	Professional		$5,501.85	$6,409.62	$7,207.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $8,149.68	Professional		$32.34	$32.34	$8,149.68
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 $4,803.93 / $6,638.14 / $11,589.48	Professional		$4,803.93	$6,638.14	$11,589.48