Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.00 / $2,062.57 / $5,430.00	Facility		$941.00	$2,062.57	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.47 / $1,025.23 / $2,011.36	Professional		$894.47	$1,025.23	$2,011.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $25,623.00 / $55,887.00	Facility		$8,139.91	$25,623.00	$55,887.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,900.00 / $3,900.00 / $3,900.00	Professional		$3,900.00	$3,900.00	$3,900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $5,676.58 / $6,337.22	Facility		$620.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $996.48 / $1,384.28 / $2,184.73	Professional		$996.48	$1,384.28	$2,184.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.48 / $1,647.21 / $3,178.28	Professional		$1,089.48	$1,647.21	$3,178.28
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 $1,185.42 / $1,223.64 / $1,333.01	Professional		$1,185.42	$1,223.64	$1,333.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,507.32	Professional		$32.34	$32.34	$1,507.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,442.00	Facility		$2,100.00	$5,978.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.46 / $1,334.81 / $2,356.28	Professional		$986.46	$1,334.81	$2,356.28