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 / $6,889.70	Facility		$1,159.00	$3,636.00	$6,889.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,470.42 / $3,103.48 / $5,493.28	Professional		$2,470.42	$3,103.48	$5,493.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,496.02 / $39,563.68 / $79,226.25	Facility		$18,496.02	$39,563.68	$79,226.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,342.00 / $4,996.46 / $8,358.45	Professional		$3,342.00	$4,996.46	$8,358.45
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 $2,540.82 / $4,490.31 / $6,185.53	Professional		$2,540.82	$4,490.31	$6,185.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,042.91 / $4,756.49 / $17,630.16	Professional		$3,042.91	$4,756.49	$17,630.16
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 $3,149.50 / $3,747.54 / $4,324.01	Professional		$3,149.50	$3,747.54	$4,324.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,989.24	Professional		$32.34	$32.34	$4,989.24
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 $2,975.23 / $4,397.93 / $6,737.64	Professional		$2,975.23	$4,397.93	$6,737.64