Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,073.00 / $7,723.00	Facility		$1,017.00	$3,073.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.74 / $1,119.70 / $2,146.86	Professional		$973.74	$1,119.70	$2,146.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,031.84 / $26,182.48	Facility		$8,563.78	$13,031.84	$26,182.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,337.83 / $1,849.91 / $2,253.29	Professional		$1,337.83	$1,849.91	$2,253.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $8,657.96 / $9,665.59	Facility		$996.00	$8,657.96	$9,665.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.22 / $1,612.40 / $2,321.61	Professional		$1,123.22	$1,612.40	$2,321.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.38 / $1,855.50 / $6,459.80	Professional		$1,277.38	$1,855.50	$6,459.80
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 $1,279.63 / $1,395.46 / $1,552.68	Professional		$1,279.63	$1,395.46	$1,552.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,755.72	Professional		$32.34	$32.34	$1,755.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.18 / $1,400.58 / $2,438.16	Professional		$1,038.18	$1,400.58	$2,438.16