Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.61 / $4,163.72 / $4,814.24	Facility		$2,454.61	$4,163.72	$4,814.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,938.16 / $3,500.00 / $5,431.18	Professional		$1,938.16	$3,500.00	$5,431.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,234.74 / $34,726.72 / $69,540.25	Facility		$16,234.74	$34,726.72	$69,540.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,108.57 / $3,812.55 / $4,332.76	Professional		$3,108.57	$3,812.55	$4,332.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.77 / $3,746.54 / $4,958.47	Professional		$1,891.77	$3,746.54	$4,958.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,305.57 / $4,188.60 / $7,741.28	Professional		$2,305.57	$4,188.60	$7,741.28
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 $2,830.63 / $3,300.12 / $3,746.55	Professional		$2,830.63	$3,300.12	$3,746.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,322.93	Professional		$32.34	$32.34	$4,322.93
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,144.85 / $3,056.99 / $4,812.21	Professional		$2,144.85	$3,056.99	$4,812.21