Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,243.00 / $5,328.27	Facility		$923.00	$2,243.00	$5,328.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.68 / $1,692.99 / $3,044.57	Professional		$1,402.68	$1,692.99	$3,044.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $18,150.28 / $39,588.05	Facility		$4,464.57	$18,150.28	$39,588.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,992.25 / $2,754.82 / $3,353.83	Professional		$1,992.25	$2,754.82	$3,353.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.49 / $2,401.14 / $3,446.65	Professional		$1,653.49	$2,401.14	$3,446.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.55 / $2,732.08 / $8,475.43	Professional		$1,867.55	$2,732.08	$8,475.43
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 $1,927.19 / $2,077.02 / $2,312.21	Professional		$1,927.19	$2,077.02	$2,312.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,614.57	Professional		$32.34	$32.34	$2,614.57
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 $1,510.41 / $2,013.52 / $3,611.50	Professional		$1,510.41	$2,013.52	$3,611.50