Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $6,183.79	Facility		$1,017.00	$3,636.00	$6,183.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,155.51 / $2,764.43 / $4,925.74	Professional		$2,155.51	$2,764.43	$4,925.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,475.33 / $35,241.36 / $70,570.82	Facility		$16,475.33	$35,241.36	$70,570.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,472.05 / $4,498.85 / $4,948.12	Professional		$3,472.05	$4,498.85	$4,948.12
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 $2,631.75 / $4,043.11 / $5,435.78	Professional		$2,631.75	$4,043.11	$5,435.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,846.10 / $4,492.34 / $9,765.60	Professional		$2,846.10	$4,492.34	$9,765.60
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 $2,746.06 / $3,363.57 / $3,893.36	Professional		$2,746.06	$3,363.57	$3,893.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,492.34	Professional		$32.34	$32.34	$4,492.34
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 $2,625.50 / $3,932.80 / $5,980.47	Professional		$2,625.50	$3,932.80	$5,980.47