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 / $6,570.54	Facility		$1,159.00	$4,200.00	$6,570.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,291.33 / $2,939.81 / $5,450.04	Professional		$2,291.33	$2,939.81	$5,450.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,520.62 / $37,477.28 / $75,048.25	Facility		$17,520.62	$37,477.28	$75,048.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,138.26 / $4,781.83 / $7,999.41	Professional		$4,138.26	$4,781.83	$7,999.41
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 $2,146.55 / $4,297.43 / $5,881.66	Professional		$2,146.55	$4,297.43	$5,881.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,828.34 / $4,536.14 / $13,840.78	Professional		$2,828.34	$4,536.14	$13,840.78
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 $2,906.27 / $3,573.93 / $4,138.26	Professional		$2,906.27	$3,573.93	$4,138.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,774.92	Professional		$32.34	$32.34	$4,774.92
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 $2,783.59 / $4,195.60 / $7,184.83	Professional		$2,783.59	$4,195.60	$7,184.83