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 / $7,407.00	Facility		$1,017.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.82 / $3,344.80 / $5,956.96	Professional		$2,571.82	$3,344.80	$5,956.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,934.27 / $42,640.16 / $85,386.92	Facility		$19,934.27	$42,640.16	$85,386.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,570.58 / $4,626.52 / $5,087.57	Professional		$3,570.58	$4,626.52	$5,087.57
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 $2,982.47 / $4,694.62 / $6,819.41	Professional		$2,982.47	$4,694.62	$6,819.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,454.11 / $5,389.81 / $15,437.90	Professional		$3,454.11	$5,389.81	$15,437.90
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 $3,314.04 / $4,068.66 / $4,710.42	Professional		$3,314.04	$4,068.66	$4,710.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,326.40	Professional		$32.34	$32.34	$5,326.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,009.46 / $4,303.55 / $7,270.05	Professional		$3,009.46	$4,303.55	$7,270.05