Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $3,073.00 / $5,549.00	Facility		$923.00	$3,073.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,178.35 / $1,832.36 / $2,925.47	Professional		$1,178.35	$1,832.36	$2,925.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $10,216.95 / $13,180.78	Facility		$8,563.78	$10,216.95	$13,180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,319.23 / $2,823.41 / $2,823.41	Professional		$2,319.23	$2,823.41	$2,823.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,930.87 / $8,930.87 / $9,970.25	Facility		$8,930.87	$8,930.87	$9,970.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,195.48 / $2,227.88 / $2,784.84	Professional		$2,195.48	$2,227.88	$2,784.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.21 / $2,868.86 / $4,034.34	Professional		$1,855.21	$2,868.86	$4,034.34
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 $2,330.94 / $2,364.23 / $2,621.74	Professional		$2,330.94	$2,364.23	$2,621.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.02 / $1,609.85 / $3,279.89	Professional		$500.02	$1,609.85	$3,279.89