Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,150.10 / $5,393.00	Facility		$923.00	$2,150.10	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.25 / $1,039.42 / $1,884.04	Professional		$858.25	$1,039.42	$1,884.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $11,143.44 / $24,305.25	Facility		$4,464.57	$11,143.44	$24,305.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,242.80 / $1,718.51 / $2,092.23	Professional		$1,242.80	$1,718.51	$2,092.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.42 / $1,497.87 / $2,194.54	Professional		$1,048.42	$1,497.87	$2,194.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.08 / $1,744.24 / $4,748.41	Professional		$1,186.08	$1,744.24	$4,748.41
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 $1,194.52 / $1,295.72 / $1,442.40	Professional		$1,194.52	$1,295.72	$1,442.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,631.02	Professional		$32.34	$32.34	$1,631.02
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 $956.28 / $1,338.16 / $2,251.48	Professional		$956.28	$1,338.16	$2,251.48