Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.03 / $2,758.00 / $5,580.00	Facility		$1,086.03	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,086.03 / $1,984.43	Professional		$895.54	$1,086.03	$1,984.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,916.56 / $17,704.66 / $25,395.19	Facility		$10,916.56	$17,704.66	$25,395.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.72 / $1,795.83 / $2,187.00	Professional		$1,298.72	$1,795.83	$2,187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,907.00 / $14,409.12	Facility		$875.00	$12,907.00	$14,409.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.61 / $1,565.27 / $2,257.81	Professional		$1,085.61	$1,565.27	$2,257.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.20 / $1,781.56 / $4,377.16	Professional		$1,233.20	$1,781.56	$4,377.16
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 $1,244.58 / $1,354.41 / $1,507.30	Professional		$1,244.58	$1,354.41	$1,507.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,704.41	Professional		$32.34	$32.34	$1,704.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.88 / $1,351.41 / $2,364.82	Professional		$1,001.88	$1,351.41	$2,364.82