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 / $5,916.23	Facility		$1,159.00	$3,636.00	$5,916.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,051.06 / $2,640.32 / $4,689.30	Professional		$2,051.06	$2,640.32	$4,689.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,735.71 / $33,659.28 / $67,402.70	Facility		$15,735.71	$33,659.28	$67,402.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,318.92 / $4,300.43 / $5,081.93	Professional		$3,318.92	$4,300.43	$5,081.93
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 $2,632.60 / $3,864.80 / $5,009.92	Professional		$2,632.60	$3,864.80	$5,009.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,722.95 / $4,232.95 / $12,022.96	Professional		$2,722.95	$4,232.95	$12,022.96
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 $2,647.97 / $3,218.03 / $3,721.65	Professional		$2,647.97	$3,218.03	$3,721.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,294.22	Professional		$32.34	$32.34	$4,294.22
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 $2,359.01 / $3,477.03 / $5,720.59	Professional		$2,359.01	$3,477.03	$5,720.59