Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.50 / $2,751.94 / $5,549.00	Facility		$964.50	$2,751.94	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.08 / $1,405.52 / $2,751.94	Professional		$1,269.08	$1,405.52	$2,751.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,831.58 / $15,068.36 / $32,865.99	Facility		$7,831.58	$15,068.36	$32,865.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.80 / $2,288.21 / $2,848.87	Professional		$1,654.80	$2,288.21	$2,848.87
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 $1,367.59 / $1,994.43 / $3,056.50	Professional		$1,367.59	$1,994.43	$3,056.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,569.68 / $2,323.13 / $9,878.09	Professional		$1,569.68	$2,323.13	$9,878.09
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 $1,707.99 / $1,764.31 / $1,920.56	Professional		$1,707.99	$1,764.31	$1,920.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,171.69	Professional		$32.34	$32.34	$2,171.69
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 $1,351.02 / $1,846.89 / $3,247.37	Professional		$1,351.02	$1,846.89	$3,247.37