Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,283.02 / $5,393.00	Facility		$923.00	$2,283.02	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.22 / $1,239.24 / $2,283.02	Professional		$1,037.22	$1,239.24	$2,283.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $13,500.49 / $29,446.28	Facility		$2,202.15	$13,500.49	$29,446.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.55 / $2,081.83 / $2,536.02	Professional		$1,505.55	$2,081.83	$2,536.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.16 / $1,774.00 / $2,555.44	Professional		$1,191.16	$1,774.00	$2,555.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.32 / $2,065.89 / $4,418.81	Professional		$1,411.32	$2,065.89	$4,418.81
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 $1,438.74 / $1,570.56 / $1,747.34	Professional		$1,438.74	$1,570.56	$1,747.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,975.84	Professional		$32.34	$32.34	$1,975.84
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 $1,129.35 / $1,483.30 / $2,691.69	Professional		$1,129.35	$1,483.30	$2,691.69