Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,758.00 / $5,580.00	Facility		$1,159.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.16 / $1,160.01 / $2,126.23	Professional		$955.16	$1,160.01	$2,126.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,193.37 / $27,124.97	Facility		$8,563.78	$13,193.37	$27,124.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,386.16 / $1,916.74 / $2,334.64	Professional		$1,386.16	$1,916.74	$2,334.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $8,741.66 / $9,759.02	Facility		$875.00	$8,741.66	$9,759.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.47 / $1,670.66 / $2,452.38	Professional		$1,167.47	$1,670.66	$2,452.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.51 / $1,946.33 / $4,672.35	Professional		$1,323.51	$1,946.33	$4,672.35
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 $1,323.43 / $1,445.85 / $1,608.78	Professional		$1,323.43	$1,445.85	$1,608.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,819.15	Professional		$32.34	$32.34	$1,819.15
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 $1,084.06 / $1,569.64 / $2,535.65	Professional		$1,084.06	$1,569.64	$2,535.65