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 $779.83 / $1,136.02 / $2,103.67	Professional		$779.83	$1,136.02	$2,103.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $12,179.07 / $26,564.09	Facility		$4,464.57	$12,179.07	$26,564.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,358.49 / $1,878.48 / $2,288.50	Professional		$1,358.49	$1,878.48	$2,288.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.93 / $1,470.97 / $2,125.67	Professional		$793.93	$1,470.97	$2,125.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.12 / $1,798.85 / $3,569.46	Professional		$1,001.12	$1,798.85	$3,569.46
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 $1,295.65 / $1,417.27 / $1,576.67	Professional		$1,295.65	$1,417.27	$1,576.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,782.85	Professional		$32.34	$32.34	$1,782.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.47 / $1,247.04 / $2,491.65	Professional		$785.47	$1,247.04	$2,491.65