Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $3,073.00 / $7,123.00	Facility		$974.00	$3,073.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,179.71 / $1,838.63	Professional		$776.25	$1,179.71	$1,838.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $10,216.95 / $13,180.78	Facility		$8,563.78	$10,216.95	$13,180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.56 / $2,137.56 / $2,925.08	Professional		$2,137.56	$2,137.56	$2,925.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,278.58 / $1,942.13 / $2,560.73	Professional		$1,278.58	$1,942.13	$2,560.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.56 / $2,858.22 / $6,113.67	Professional		$1,787.56	$2,858.22	$6,113.67
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 $1,857.84 / $2,112.57 / $2,437.57	Professional		$1,857.84	$2,112.57	$2,437.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.32 / $1,405.24 / $3,410.92	Professional		$713.32	$1,405.24	$3,410.92