Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,880.00 / $6,883.78	Facility		$826.00	$2,880.00	$6,883.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.36 / $1,693.02 / $3,301.74	Professional		$1,488.36	$1,693.02	$3,301.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,457.39 / $18,121.30 / $39,524.86	Facility		$9,457.39	$18,121.30	$39,524.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,020.94 / $2,794.50 / $3,404.28	Professional		$2,020.94	$2,794.50	$3,404.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,654.83 / $2,399.33 / $3,547.71	Professional		$1,654.83	$2,399.33	$3,547.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,894.44 / $2,838.06 / $9,466.04	Professional		$1,894.44	$2,838.06	$9,466.04
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 $1,922.58 / $2,108.28 / $2,345.50	Professional		$1,922.58	$2,108.28	$2,345.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,652.22	Professional		$32.34	$32.34	$2,652.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,055.00 / $14,468.00	Facility		$2,600.00	$7,055.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,580.24 / $2,142.67 / $3,716.32	Professional		$1,580.24	$2,142.67	$3,716.32