Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,157.00 / $5,393.00	Facility		$923.00	$2,157.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.04 / $1,057.07 / $1,934.53	Professional		$866.04	$1,057.07	$1,934.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $11,332.79 / $24,718.24	Facility		$3,938.16	$11,332.79	$24,718.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,247.74 / $1,725.33 / $2,099.81	Professional		$1,247.74	$1,725.33	$2,099.81
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 $1,031.81 / $1,500.47 / $2,178.71	Professional		$1,031.81	$1,500.47	$2,178.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.96 / $1,710.55 / $4,384.39	Professional		$1,115.96	$1,710.55	$4,384.39
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 $1,176.33 / $1,300.42 / $1,448.12	Professional		$1,176.33	$1,300.42	$1,448.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,637.49	Professional		$32.34	$32.34	$1,637.49
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 $950.54 / $1,319.49 / $2,301.11	Professional		$950.54	$1,319.49	$2,301.11