Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,546.52 / $5,393.00	Facility		$923.00	$2,546.52	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.65 / $1,395.61 / $2,546.52	Professional		$1,130.65	$1,395.61	$2,546.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $14,962.05 / $32,634.13	Facility		$3,938.16	$14,962.05	$32,634.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.08 / $2,417.19 / $2,945.27	Professional		$1,748.08	$2,417.19	$2,945.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.55 / $1,997.61 / $2,930.91	Professional		$1,189.55	$1,997.61	$2,930.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.41 / $2,338.69 / $6,320.35	Professional		$1,393.41	$2,338.69	$6,320.35
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 $1,662.41 / $1,824.00 / $2,028.82	Professional		$1,662.41	$1,824.00	$2,028.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,294.13	Professional		$32.34	$32.34	$2,294.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,173.18 / $1,641.48 / $3,020.12	Professional		$1,173.18	$1,641.48	$3,020.12