Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,747.00 / $5,393.00	Facility		$826.00	$2,747.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,237.94 / $1,506.43 / $2,791.39	Professional		$1,237.94	$1,506.43	$2,791.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,193.59 / $16,150.24 / $35,225.71	Facility		$9,193.59	$16,150.24	$35,225.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,799.45 / $2,488.23 / $3,032.00	Professional		$1,799.45	$2,488.23	$3,032.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.94 / $2,088.44 / $3,069.30	Professional		$1,257.94	$2,088.44	$3,069.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.25 / $2,397.27 / $6,074.06	Professional		$1,454.25	$2,397.27	$6,074.06
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 $1,711.29 / $1,877.72 / $2,088.44	Professional		$1,711.29	$1,877.72	$2,088.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,361.56	Professional		$32.34	$32.34	$2,361.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,272.00 / $8,168.00	Facility		$1,690.00	$5,272.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,229.65 / $1,763.17 / $3,368.54	Professional		$1,229.65	$1,763.17	$3,368.54