Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,407.80 / $5,549.00	Facility		$923.00	$2,407.80	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.38 / $1,310.81 / $2,586.46	Professional		$1,080.38	$1,310.81	$2,586.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,176.05 / $18,375.30 / $30,651.44	Facility		$13,176.05	$18,375.30	$30,651.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,547.41 / $2,168.96 / $2,641.59	Professional		$1,547.41	$2,168.96	$2,641.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $9,841.00 / $19,482.84	Facility		$875.00	$9,841.00	$19,482.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.99 / $1,853.04 / $2,737.77	Professional		$1,280.99	$1,853.04	$2,737.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.39 / $2,202.21 / $6,387.36	Professional		$1,470.39	$2,202.21	$6,387.36
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 $1,501.71 / $1,635.93 / $1,820.48	Professional		$1,501.71	$1,635.93	$1,820.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,058.54	Professional		$32.34	$32.34	$2,058.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.83 / $1,656.37 / $2,920.43	Professional		$1,225.83	$1,656.37	$2,920.43