Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,952.00 / $5,760.00 / $9,396.00	Facility		$2,952.00	$5,760.00	$9,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,772.00 / $3,096.00 / $4,320.00	Professional		$2,772.00	$3,096.00	$4,320.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,860.00 / $20,520.00 / $63,396.00	Facility		$4,860.00	$20,520.00	$63,396.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $3,600.00 / $5,472.00	Professional		$4.50	$3,600.00	$5,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,567.43 / $8,798.79 / $16,571.87	Facility		$4,567.43	$8,798.79	$16,571.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,672.96 / $4,177.97 / $6,076.35	Professional		$1,672.96	$4,177.97	$6,076.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,672.00 / $5,760.00 / $9,165.60	Professional		$3,672.00	$5,760.00	$9,165.60
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 $4,680.00 / $4,680.00 / $4,680.00	Professional		$4,680.00	$4,680.00	$4,680.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,896.00 / $4,896.00 / $5,400.00	Professional		$4,896.00	$4,896.00	$5,400.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,512.00 / $7,200.00 / $7,200.00	Facility		$1,512.00	$7,200.00	$7,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $3,708.00	Professional		$1,512.00	$2,160.00	$3,708.00