Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,747.00 / $5,389.00	Facility		$826.00	$2,747.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,561.42 / $1,751.55 / $3,660.40	Professional		$1,561.42	$1,751.55	$3,660.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $18,761.09 / $40,920.31	Facility		$2,202.15	$18,761.09	$40,920.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,882.50 / $2,603.06 / $3,144.26	Professional		$1,882.50	$2,603.06	$3,144.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,631.14 / $1,820.98	Facility		$875.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.07 / $2,305.96 / $3,730.78	Professional		$1,356.07	$2,305.96	$3,730.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.67 / $2,621.29 / $7,821.66	Professional		$1,764.67	$2,621.29	$7,821.66
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 $1,947.24 / $2,041.91 / $2,184.83	Professional		$1,947.24	$2,041.91	$2,184.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,520.96	Professional		$32.34	$32.34	$2,520.96
United Facility/Professional Facility Modifier Low / Median / High Price $807.00 / $1,753.00 / $4,256.00	Facility		$807.00	$1,753.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,462.43 / $2,190.66 / $4,246.01	Professional		$1,462.43	$2,190.66	$4,246.01