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 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.17 / $2,470.59 / $4,417.85	Professional		$1,909.17	$2,470.59	$4,417.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,724.19 / $31,495.60 / $63,069.93	Facility		$14,724.19	$31,495.60	$63,069.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,103.05 / $4,020.73 / $4,423.95	Professional		$3,103.05	$4,020.73	$4,423.95
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 $2,437.12 / $3,613.42 / $4,966.09	Professional		$2,437.12	$3,613.42	$4,966.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,544.61 / $4,095.21 / $11,507.45	Professional		$2,544.61	$4,095.21	$11,507.45
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 $2,461.56 / $3,007.26 / $3,479.59	Professional		$2,461.56	$3,007.26	$3,479.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,014.92	Professional		$32.34	$32.34	$4,014.92
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 $2,428.05 / $3,711.63 / $5,380.07	Professional		$2,428.05	$3,711.63	$5,380.07