Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,989.00 / $5,580.00	Facility		$813.00	$2,989.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.83 / $1,141.28 / $1,515.98	Professional		$741.83	$1,141.28	$1,515.98
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,658.56 / $8,658.56 / $9,666.24	Facility		$8,658.56	$8,658.56	$9,666.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.33 / $1,343.33 / $1,598.28	Professional		$1,343.33	$1,343.33	$1,598.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $345.40	Professional		$100.00	$345.40	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
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 $2,537.00 / $7,400.00 / $17,033.00	Facility		$2,537.00	$7,400.00	$17,033.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.16 / $1,602.19 / $2,762.19	Professional		$1,162.16	$1,602.19	$2,762.19