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 / $7,015.03	Facility		$1,159.00	$3,636.00	$7,015.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,445.21 / $3,136.24 / $6,115.67	Professional		$2,445.21	$3,136.24	$6,115.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,691.28 / $39,981.36 / $80,062.67	Facility		$18,691.28	$39,981.36	$80,062.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,939.06 / $5,103.97 / $5,613.26	Professional		$3,939.06	$5,103.97	$5,613.26
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 $3,131.67 / $4,586.93 / $6,300.19	Professional		$3,131.67	$4,586.93	$6,300.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,228.68 / $5,096.60 / $11,445.95	Professional		$3,228.68	$5,096.60	$11,445.95
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 $3,112.17 / $3,815.71 / $4,417.05	Professional		$3,112.17	$3,815.71	$4,417.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,096.60	Professional		$32.34	$32.34	$5,096.60
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 $3,074.15 / $4,274.43 / $6,839.06	Professional		$3,074.15	$4,274.43	$6,839.06