Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $1,898.46 / $5,389.00	Facility		$813.00	$1,898.46	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.63 / $1,029.68 / $2,078.96	Professional		$855.63	$1,029.68	$2,078.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $11,039.04 / $24,077.55	Facility		$3,938.16	$11,039.04	$24,077.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,221.04 / $1,688.42 / $2,065.07	Professional		$1,221.04	$1,688.42	$2,065.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.17 / $1,471.65 / $2,171.71	Professional		$1,026.17	$1,471.65	$2,171.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.61 / $1,721.60 / $4,284.80	Professional		$1,144.61	$1,721.60	$4,284.80
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 $1,176.33 / $1,278.90 / $1,417.14	Professional		$1,176.33	$1,278.90	$1,417.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,602.46	Professional		$32.34	$32.34	$1,602.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.80 / $1,331.07 / $2,259.32	Professional		$984.80	$1,331.07	$2,259.32