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 $663.58 / $1,331.81 / $2,305.56	Professional		$663.58	$1,331.81	$2,305.56
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 $278.10 / $321.36 / $2,823.41	Professional		$278.10	$321.36	$2,823.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,831.39 / $6,831.39 / $7,626.43	Facility		$6,831.39	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,227.88 / $2,361.55 / $2,976.10	Professional		$2,227.88	$2,361.55	$2,976.10
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 / $4,659.00 / $8,821.00	Facility		$1,600.00	$4,659.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.95 / $2,068.07 / $4,674.30	Professional		$678.95	$2,068.07	$4,674.30