Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,316.08 / $5,393.00	Facility		$923.00	$2,316.08	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.43 / $1,101.35 / $2,316.08	Professional		$900.43	$1,101.35	$2,316.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $12,232.55 / $25,149.57	Facility		$7,677.08	$12,232.55	$25,149.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,395.74 / $1,808.51 / $2,050.00	Professional		$1,395.74	$1,808.51	$2,050.00
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 $1,067.99 / $1,607.92 / $2,343.73	Professional		$1,067.99	$1,607.92	$2,343.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.48 / $1,833.02 / $5,057.68	Professional		$1,250.48	$1,833.02	$5,057.68
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 $1,242.24 / $1,393.52 / $1,565.11	Professional		$1,242.24	$1,393.52	$1,565.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,769.78	Professional		$32.34	$32.34	$1,769.78
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 $1,020.35 / $1,496.46 / $2,463.14	Professional		$1,020.35	$1,496.46	$2,463.14