Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $7,321.55	Facility		$1,017.00	$3,636.00	$7,321.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,514.62 / $3,274.37 / $5,833.51	Professional		$2,514.62	$3,274.37	$5,833.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,514.45 / $41,742.16 / $83,588.67	Facility		$19,514.45	$41,742.16	$83,588.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,495.59 / $4,529.35 / $5,328.65	Professional		$3,495.59	$4,529.35	$5,328.65
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 $2,912.71 / $4,596.64 / $6,724.14	Professional		$2,912.71	$4,596.64	$6,724.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,369.75 / $5,238.43 / $15,113.58	Professional		$3,369.75	$5,238.43	$15,113.58
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 $3,239.25 / $3,982.43 / $4,611.49	Professional		$3,239.25	$3,982.43	$4,611.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,214.53	Professional		$32.34	$32.34	$5,214.53
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,948.17 / $4,130.31 / $7,029.06	Professional		$2,948.17	$4,130.31	$7,029.06