Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,243.00 / $5,091.00	Facility		$923.00	$2,243.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.96 / $1,203.73 / $2,342.21	Professional		$1,103.96	$1,203.73	$2,342.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,346.22 / $12,904.99 / $28,147.41	Facility		$7,346.22	$12,904.99	$28,147.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,426.07 / $2,458.32 / $2,458.32	Professional		$1,426.07	$2,458.32	$2,458.32
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 $1,229.66 / $1,718.75 / $2,618.31	Professional		$1,229.66	$1,718.75	$2,618.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.01 / $2,049.44 / $6,117.52	Professional		$1,339.01	$2,049.44	$6,117.52
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 $1,450.59 / $1,522.44 / $1,655.10	Professional		$1,450.59	$1,522.44	$1,655.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,876.86	Professional		$32.34	$32.34	$1,876.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.59 / $1,649.54 / $2,916.30	Professional		$1,205.59	$1,649.54	$2,916.30