Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,150.19 / $5,393.00	Facility		$923.00	$2,150.19	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.69 / $1,041.59 / $1,902.61	Professional		$858.69	$1,041.59	$1,902.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,169.56 / $24,356.12	Facility		$8,538.45	$12,169.56	$24,356.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.04 / $1,501.44 / $2,151.46	Professional		$1,049.04	$1,501.44	$2,151.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.17 / $1,748.78 / $5,286.27	Professional		$1,189.17	$1,748.78	$5,286.27
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 $1,192.34 / $1,299.08 / $1,445.82	Professional		$1,192.34	$1,299.08	$1,445.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,634.89	Professional		$32.34	$32.34	$1,634.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.01 / $1,329.10 / $2,269.31	Professional		$952.01	$1,329.10	$2,269.31