Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,880.00 / $5,430.00	Facility		$923.00	$2,880.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,481.82 / $1,712.94 / $3,341.87	Professional		$1,481.82	$1,712.94	$3,341.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,457.39 / $18,364.13 / $40,054.49	Facility		$9,457.39	$18,364.13	$40,054.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,045.51 / $2,828.46 / $3,446.12	Professional		$2,045.51	$2,828.46	$3,446.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $10,111.00	Facility		$875.00	$6,831.39	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,676.61 / $2,462.52 / $3,567.12	Professional		$1,676.61	$2,462.52	$3,567.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,917.47 / $2,872.94 / $10,561.69	Professional		$1,917.47	$2,872.94	$10,561.69
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 $1,946.20 / $2,134.17 / $2,374.01	Professional		$1,946.20	$2,134.17	$2,374.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,684.46	Professional		$32.34	$32.34	$2,684.46
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 $1,586.57 / $2,175.11 / $3,754.56	Professional		$1,586.57	$2,175.11	$3,754.56