Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,118.00 / $5,393.00	Facility		$813.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.49 / $1,026.35 / $1,911.87	Professional		$848.49	$1,026.35	$1,911.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $11,682.52 / $23,960.76	Facility		$7,677.08	$11,682.52	$23,960.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.71 / $1,699.63 / $1,924.76	Professional		$1,311.71	$1,699.63	$1,924.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,011.78 / $6,711.43	Facility		$709.00	$6,011.78	$6,711.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.60 / $1,518.67 / $2,186.82	Professional		$1,025.60	$1,518.67	$2,186.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.02 / $1,753.75 / $4,464.88	Professional		$1,188.02	$1,753.75	$4,464.88
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 $1,144.57 / $1,308.39 / $1,470.89	Professional		$1,144.57	$1,308.39	$1,470.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,663.23	Professional		$32.34	$32.34	$1,663.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.76 / $1,417.21 / $2,328.42	Professional		$1,000.76	$1,417.21	$2,328.42