Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $6,364.90	Facility		$1,159.00	$3,636.00	$6,364.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,218.32 / $2,845.05 / $5,071.43	Professional		$2,218.32	$2,845.05	$5,071.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,955.84 / $36,269.19 / $72,629.07	Facility		$16,955.84	$36,269.19	$72,629.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,681.26 / $4,127.96 / $7,747.09	Professional		$3,681.26	$4,127.96	$7,747.09
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 $2,786.90 / $4,161.88 / $5,599.03	Professional		$2,786.90	$4,161.88	$5,599.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,929.45 / $4,624.31 / $16,367.65	Professional		$2,929.45	$4,624.31	$16,367.65
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 $2,824.46 / $3,462.08 / $4,007.73	Professional		$2,824.46	$3,462.08	$4,007.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,624.31	Professional		$32.34	$32.34	$4,624.31
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 $2,692.28 / $4,019.79 / $7,138.04	Professional		$2,692.28	$4,019.79	$7,138.04