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 / $5,981.50	Facility		$1,159.00	$3,636.00	$5,981.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,126.92 / $2,707.74 / $4,626.92	Professional		$2,126.92	$2,707.74	$4,626.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,137.53 / $34,518.80 / $69,123.89	Facility		$16,137.53	$34,518.80	$69,123.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,901.45 / $4,321.60 / $4,786.24	Professional		$2,901.45	$4,321.60	$4,786.24
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 $1,943.42 / $3,883.82 / $5,375.23	Professional		$1,943.42	$3,883.82	$5,375.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,502.71 / $4,129.49 / $9,868.70	Professional		$2,502.71	$4,129.49	$9,868.70
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 $2,825.28 / $3,253.54 / $3,739.98	Professional		$2,825.28	$3,253.54	$3,739.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,315.37	Professional		$32.34	$32.34	$4,315.37
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 $2,441.78 / $3,842.98 / $7,135.36	Professional		$2,441.78	$3,842.98	$7,135.36