Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $2,095.00 / $5,393.00	Facility		$826.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.01 / $1,040.44 / $1,976.91	Professional		$817.01	$1,040.44	$1,976.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $11,154.41 / $24,329.18	Facility		$3,938.16	$11,154.41	$24,329.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,256.19 / $1,737.02 / $2,141.55	Professional		$1,256.19	$1,737.02	$2,141.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,338.66 / $2,610.83	Facility		$875.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.88 / $1,514.01 / $2,130.82	Professional		$985.88	$1,514.01	$2,130.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.56 / $1,785.35 / $4,042.12	Professional		$1,177.56	$1,785.35	$4,042.12
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 $1,225.73 / $1,326.26 / $1,457.94	Professional		$1,225.73	$1,326.26	$1,457.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,648.59	Professional		$32.34	$32.34	$1,648.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.69 / $1,329.18 / $2,306.58	Professional		$976.69	$1,329.18	$2,306.58