Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $5,111.57 / $8,887.29	Facility		$1,159.00	$5,111.57	$8,887.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,981.71 / $5,111.57 / $9,967.56	Professional		$3,981.71	$5,111.57	$9,967.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,463.79 / $65,163.20 / $130,489.30	Facility		$30,463.79	$65,163.20	$130,489.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,192.00 / $8,310.48 / $13,902.39	Professional		$7,192.00	$8,310.48	$13,902.39
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 $3,805.48 / $7,468.62 / $10,267.52	Professional		$3,805.48	$7,468.62	$10,267.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,619.35 / $7,879.11 / $19,911.05	Professional		$4,619.35	$7,879.11	$19,911.05
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 $5,023.49 / $6,207.79 / $7,192.00	Professional		$5,023.49	$6,207.79	$7,192.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $8,298.46	Professional		$32.34	$32.34	$8,298.46
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 $4,880.68 / $7,394.25 / $11,700.24	Professional		$4,880.68	$7,394.25	$11,700.24