Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,621.25 / $4,443.68 / $5,138.95	Facility		$2,621.25	$4,443.68	$5,138.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,014.34 / $2,621.25 / $4,955.35	Professional		$2,014.34	$2,621.25	$4,955.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,336.91 / $37,084.32 / $74,261.35	Facility		$17,336.91	$37,084.32	$74,261.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,331.72 / $4,086.49 / $4,643.78	Professional		$3,331.72	$4,086.49	$4,643.78
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 $2,163.83 / $4,015.49 / $5,291.30	Professional		$2,163.83	$4,015.49	$5,291.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,690.16 / $4,355.27 / $7,189.54	Professional		$2,690.16	$4,355.27	$7,189.54
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 $3,033.56 / $3,537.24 / $4,015.49	Professional		$3,033.56	$3,537.24	$4,015.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,633.26	Professional		$32.34	$32.34	$4,633.26
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 $2,317.75 / $3,275.53 / $5,138.72	Professional		$2,317.75	$3,275.53	$5,138.72