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 / $5,618.60	Facility		$1,159.00	$3,636.00	$5,618.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,043.74 / $2,470.10 / $4,520.12	Professional		$2,043.74	$2,470.10	$4,520.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,483.71 / $35,259.28 / $70,606.70	Facility		$16,483.71	$35,259.28	$70,606.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,857.95 / $3,871.10 / $4,574.58	Professional		$2,857.95	$3,871.10	$4,574.58
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 $2,609.46 / $3,526.32 / $5,018.80	Professional		$2,609.46	$3,526.32	$5,018.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,585.96 / $4,114.04 / $13,383.16	Professional		$2,585.96	$4,114.04	$13,383.16
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 $2,857.60 / $3,056.14 / $3,350.11	Professional		$2,857.60	$3,056.14	$3,350.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,865.52	Professional		$32.34	$32.34	$3,865.52
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 $2,566.27 / $3,784.80 / $6,724.66	Professional		$2,566.27	$3,784.80	$6,724.66