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 $805.90 / $990.31 / $1,805.00	Professional		$805.90	$990.31	$1,805.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $23,156.85	Facility		$8,538.45	$11,989.29	$23,156.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.71 / $1,635.41 / $1,992.04	Professional		$1,182.71	$1,635.41	$1,992.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $10,839.95 / $12,101.51	Facility		$709.00	$10,839.95	$12,101.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.10 / $1,518.36 / $2,187.28	Professional		$998.10	$1,518.36	$2,187.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.27 / $1,734.24 / $3,993.23	Professional		$1,129.27	$1,734.24	$3,993.23
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 $1,134.89 / $1,233.66 / $1,372.66	Professional		$1,134.89	$1,233.66	$1,372.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,552.16	Professional		$32.34	$32.34	$1,552.16
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 $915.50 / $1,306.15 / $2,259.53	Professional		$915.50	$1,306.15	$2,259.53