Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,147.65 / $5,393.00	Facility		$826.00	$2,147.65	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.88 / $1,019.36 / $1,902.03	Professional		$863.88	$1,019.36	$1,902.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,138.23 / $23,836.23	Facility		$8,538.45	$12,138.23	$23,836.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.16 / $1,647.11 / $2,002.26	Professional		$1,191.16	$1,647.11	$2,002.26
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 $1,007.74 / $1,435.64 / $2,075.10	Professional		$1,007.74	$1,435.64	$2,075.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.60 / $1,669.22 / $4,212.35	Professional		$1,116.60	$1,669.22	$4,212.35
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 $1,178.78 / $1,239.99 / $1,382.47	Professional		$1,178.78	$1,239.99	$1,382.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,568.51	Professional		$32.34	$32.34	$1,568.51
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 $926.25 / $1,255.46 / $2,102.12	Professional		$926.25	$1,255.46	$2,102.12