Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,165.90 / $5,389.00	Facility		$923.00	$2,165.90	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.56 / $1,032.36 / $2,096.69	Professional		$874.56	$1,032.36	$2,096.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,469.87 / $23,760.85	Facility		$7,091.59	$11,469.87	$23,760.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.32 / $1,636.26 / $2,035.55	Professional		$1,183.32	$1,636.26	$2,035.55
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 $1,035.30 / $1,426.18 / $2,278.48	Professional		$1,035.30	$1,426.18	$2,278.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.36 / $1,690.29 / $6,769.48	Professional		$1,149.36	$1,690.29	$6,769.48
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 $1,206.53 / $1,260.60 / $1,373.36	Professional		$1,206.53	$1,260.60	$1,373.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,552.95	Professional		$32.34	$32.34	$1,552.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.74 / $1,437.26 / $2,396.96	Professional		$1,052.74	$1,437.26	$2,396.96