Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.00 / $5,393.00	Facility		$923.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.07 / $994.67 / $1,814.28	Professional		$866.07	$994.67	$1,814.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $23,258.87	Facility		$8,538.45	$11,989.29	$23,258.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,187.83 / $1,642.51 / $2,000.88	Professional		$1,187.83	$1,642.51	$2,000.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $8,658.56 / $9,666.24	Facility		$709.00	$8,658.56	$9,666.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.57 / $1,435.49 / $2,102.69	Professional		$1,002.57	$1,435.49	$2,102.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.30 / $1,668.08 / $4,011.34	Professional		$1,134.30	$1,668.08	$4,011.34
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 $1,140.01 / $1,239.15 / $1,378.61	Professional		$1,140.01	$1,239.15	$1,378.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,558.89	Professional		$32.34	$32.34	$1,558.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $947.52 / $1,370.53 / $2,166.08	Professional		$947.52	$1,370.53	$2,166.08