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 / $6,770.75	Facility		$1,017.00	$3,636.00	$6,770.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,298.96 / $3,026.33 / $5,392.21	Professional		$2,298.96	$3,026.33	$5,392.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,036.22 / $38,580.16 / $77,256.77	Facility		$18,036.22	$38,580.16	$77,256.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.42 / $4,925.63 / $5,417.79	Professional		$3,801.42	$4,925.63	$5,417.79
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 $2,696.56 / $4,249.43 / $6,206.52	Professional		$2,696.56	$4,249.43	$6,206.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,122.17 / $4,877.51 / $13,054.11	Professional		$3,122.17	$4,877.51	$13,054.11
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 $3,006.54 / $3,682.84 / $4,262.70	Professional		$3,006.54	$3,682.84	$4,262.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,820.13	Professional		$32.34	$32.34	$4,820.13
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 $2,718.66 / $3,891.89 / $6,563.37	Professional		$2,718.66	$3,891.89	$6,563.37