Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,587.00 / $5,580.00	Facility		$879.00	$2,587.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.29 / $1,308.10 / $2,420.42	Professional		$1,131.29	$1,308.10	$2,420.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $58,390.87 / $127,357.87	Facility		$8,139.91	$58,390.87	$127,357.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,887.50 / $8,887.50 / $8,887.50	Professional		$8,887.50	$8,887.50	$8,887.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.16 / $1,862.36 / $2,861.21	Professional		$1,250.16	$1,862.36	$2,861.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.50 / $2,167.71 / $8,422.91	Professional		$1,448.50	$2,167.71	$8,422.91
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 $1,595.11 / $1,647.97 / $1,793.38	Professional		$1,595.11	$1,647.97	$1,793.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,027.89	Professional		$32.34	$32.34	$2,027.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.97 / $1,735.01 / $2,861.78	Professional		$1,276.97	$1,735.01	$2,861.78