Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,523.98 / $5,430.00	Facility		$1,017.00	$2,523.98	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.25 / $1,068.11 / $2,092.33	Professional		$926.25	$1,068.11	$2,092.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,851.68 / $25,850.03	Facility		$7,091.59	$11,851.68	$25,850.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.34 / $1,813.28 / $2,216.82	Professional		$1,311.34	$1,813.28	$2,216.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,676.58 / $6,337.22	Facility		$875.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.03 / $1,561.67 / $2,224.38	Professional		$1,033.03	$1,561.67	$2,224.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.67 / $1,791.22 / $8,044.41	Professional		$1,161.67	$1,791.22	$8,044.41
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 $1,279.68 / $1,372.88 / $1,521.95	Professional		$1,279.68	$1,372.88	$1,521.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,720.97	Professional		$32.34	$32.34	$1,720.97
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 $991.46 / $1,342.34 / $2,469.87	Professional		$991.46	$1,342.34	$2,469.87