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 / $7,407.00	Facility		$1,159.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,740.44 / $3,514.35 / $6,241.67	Professional		$2,740.44	$3,514.35	$6,241.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,944.71 / $44,801.52 / $89,715.04	Facility		$20,944.71	$44,801.52	$89,715.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,949.64 / $5,719.40 / $9,567.85	Professional		$4,949.64	$5,719.40	$9,567.85
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 $3,443.28 / $5,140.02 / $7,049.49	Professional		$3,443.28	$5,140.02	$7,049.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,618.58 / $5,711.13 / $12,768.17	Professional		$3,618.58	$5,711.13	$12,768.17
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 $3,493.13 / $4,276.51 / $4,949.64	Professional		$3,493.13	$4,276.51	$4,949.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,711.13	Professional		$32.34	$32.34	$5,711.13
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 $3,436.70 / $5,052.68 / $9,351.08	Professional		$3,436.70	$5,052.68	$9,351.08