Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,157.00 / $5,393.00	Facility		$923.00	$2,157.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.42 / $1,071.02 / $1,957.68	Professional		$873.42	$1,071.02	$1,957.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $11,482.25 / $25,044.25	Facility		$3,938.16	$11,482.25	$25,044.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.97 / $1,758.84 / $2,133.76	Professional		$1,271.97	$1,758.84	$2,133.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.02 / $1,481.28 / $2,164.04	Professional		$973.02	$1,481.28	$2,164.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.14 / $1,738.20 / $4,143.54	Professional		$1,118.14	$1,738.20	$4,143.54
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 $1,187.58 / $1,321.44 / $1,476.24	Professional		$1,187.58	$1,321.44	$1,476.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,669.29	Professional		$32.34	$32.34	$1,669.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.36 / $1,298.58 / $2,332.94	Professional		$923.36	$1,298.58	$2,332.94