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 / $5,826.80	Facility		$1,159.00	$3,636.00	$5,826.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,031.05 / $2,604.16 / $4,641.14	Professional		$2,031.05	$2,604.16	$4,641.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,520.21 / $33,198.32 / $66,479.63	Facility		$15,520.21	$33,198.32	$66,479.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,270.72 / $4,237.97 / $7,089.61	Professional		$3,270.72	$4,237.97	$7,089.61
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 $2,557.52 / $3,808.67 / $5,221.52	Professional		$2,557.52	$3,808.67	$5,221.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.79 / $4,231.85 / $12,097.12	Professional		$2,681.79	$4,231.85	$12,097.12
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 $2,592.15 / $3,169.39 / $3,667.60	Professional		$2,592.15	$3,169.39	$3,667.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,231.85	Professional		$32.34	$32.34	$4,231.85
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 $2,524.71 / $3,694.68 / $6,345.19	Professional		$2,524.71	$3,694.68	$6,345.19