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 / $6,792.19	Facility		$1,159.00	$3,636.00	$6,792.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,364.00 / $3,059.81 / $5,173.89	Professional		$2,364.00	$3,059.81	$5,173.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,235.79 / $39,007.04 / $78,111.59	Facility		$18,235.79	$39,007.04	$78,111.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,800.49 / $4,924.43 / $5,434.93	Professional		$3,800.49	$4,924.43	$5,434.93
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 $2,486.92 / $4,425.58 / $5,660.53	Professional		$2,486.92	$4,425.58	$5,660.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,004.24 / $4,689.17 / $9,224.77	Professional		$3,004.24	$4,689.17	$9,224.77
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 $3,110.93 / $3,694.50 / $4,261.66	Professional		$3,110.93	$3,694.50	$4,261.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,917.30	Professional		$32.34	$32.34	$4,917.30
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,737.68 / $3,929.27 / $6,855.06	Professional		$2,737.68	$3,929.27	$6,855.06