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 / $6,456.47	Facility		$1,017.00	$3,636.00	$6,456.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.44 / $2,884.06 / $5,138.88	Professional		$2,225.44	$2,884.06	$5,138.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,188.36 / $36,766.56 / $73,625.03	Facility		$17,188.36	$36,766.56	$73,625.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,624.73 / $4,696.68 / $5,166.31	Professional		$3,624.73	$4,696.68	$5,166.31
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 $2,571.23 / $4,052.18 / $5,912.26	Professional		$2,571.23	$4,052.18	$5,912.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,980.30 / $4,650.80 / $13,688.35	Professional		$2,980.30	$4,650.80	$13,688.35
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 $2,869.92 / $3,511.89 / $4,064.57	Professional		$2,869.92	$3,511.89	$4,064.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,596.09	Professional		$32.34	$32.34	$4,596.09
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 $2,588.04 / $3,711.40 / $6,167.85	Professional		$2,588.04	$3,711.40	$6,167.85