Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,031.11 / $7,407.00	Facility		$1,159.00	$4,031.11	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,140.85 / $4,031.11 / $7,860.67	Professional		$3,140.85	$4,031.11	$7,860.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,024.52 / $51,389.36 / $102,907.19	Facility		$24,024.52	$51,389.36	$102,907.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,674.11 / $6,556.53 / $10,968.25	Professional		$5,674.11	$6,556.53	$10,968.25
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 $4,019.81 / $5,892.34 / $8,081.47	Professional		$4,019.81	$5,892.34	$8,081.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,145.08 / $6,547.05 / $18,646.71	Professional		$4,145.08	$6,547.05	$18,646.71
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 $3,972.09 / $4,898.72 / $5,674.11	Professional		$3,972.09	$4,898.72	$5,674.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $6,547.05	Professional		$32.34	$32.34	$6,547.05
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 $3,981.27 / $5,778.12 / $10,179.92	Professional		$3,981.27	$5,778.12	$10,179.92