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 $2,793.67 / $3,571.48 / $6,235.45	Professional		$2,793.67	$3,571.48	$6,235.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,285.23 / $45,529.92 / $91,173.66	Facility		$21,285.23	$45,529.92	$91,173.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,970.47 / $5,743.47 / $9,608.11	Professional		$4,970.47	$5,743.47	$9,608.11
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 $2,942.85 / $5,161.64 / $7,111.60	Professional		$2,942.85	$5,161.64	$7,111.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,488.74 / $5,466.05 / $15,251.63	Professional		$3,488.74	$5,466.05	$15,251.63
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 $3,607.94 / $4,306.59 / $4,970.49	Professional		$3,607.94	$4,306.59	$4,970.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,735.18	Professional		$32.34	$32.34	$5,735.18
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 $3,394.59 / $5,049.10 / $9,348.48	Professional		$3,394.59	$5,049.10	$9,348.48