Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,439.88 / $7,862.98	Facility		$1,159.00	$4,439.88	$7,862.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,459.46 / $4,439.88 / $8,657.77	Professional		$3,459.46	$4,439.88	$8,657.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,460.64 / $56,600.32 / $113,342.14	Facility		$26,460.64	$56,600.32	$113,342.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,249.39 / $7,221.28 / $12,080.29	Professional		$6,249.39	$7,221.28	$12,080.29
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 $3,801.44 / $6,489.75 / $8,824.41	Professional		$3,801.44	$6,489.75	$8,824.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,468.56 / $6,848.09 / $16,043.87	Professional		$4,468.56	$6,848.09	$16,043.87
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 $4,376.24 / $5,395.47 / $6,249.39	Professional		$4,376.24	$5,395.47	$6,249.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,210.83	Professional		$32.34	$32.34	$7,210.83
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 $4,226.09 / $6,339.14 / $10,928.05	Professional		$4,226.09	$6,339.14	$10,928.05