Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $2,095.00 / $5,389.00	Facility		$879.00	$2,095.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.03 / $943.05 / $1,714.09	Professional		$778.03	$943.05	$1,714.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,479.31 / $17,219.73 / $23,740.35	Facility		$9,479.31	$17,219.73	$23,740.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.61 / $1,557.86 / $1,896.96	Professional		$1,126.61	$1,557.86	$1,896.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $12,907.00 / $14,409.12	Facility		$709.00	$12,907.00	$14,409.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.93 / $1,357.85 / $1,991.18	Professional		$950.93	$1,357.85	$1,991.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.38 / $1,581.44 / $3,799.45	Professional		$1,075.38	$1,581.44	$3,799.45
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 $1,081.83 / $1,174.78 / $1,307.55	Professional		$1,081.83	$1,174.78	$1,307.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,478.54	Professional		$32.34	$32.34	$1,478.54
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 $886.55 / $1,263.51 / $2,046.60	Professional		$886.55	$1,263.51	$2,046.60