Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,904.17 / $5,091.00	Facility		$923.00	$1,904.17	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.74 / $1,031.43 / $2,037.89	Professional		$859.74	$1,031.43	$2,037.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $11,682.52 / $23,552.78	Facility		$7,677.08	$11,682.52	$23,552.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,291.02 / $1,672.82 / $1,907.81	Professional		$1,291.02	$1,672.82	$1,907.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,011.78 / $6,711.43	Facility		$620.00	$6,011.78	$6,711.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.78 / $1,477.84 / $2,167.10	Professional		$1,011.78	$1,477.84	$2,167.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.28 / $1,703.81 / $4,088.30	Professional		$1,169.28	$1,703.81	$4,088.30
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 $1,173.02 / $1,296.86 / $1,447.68	Professional		$1,173.02	$1,296.86	$1,447.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,636.99	Professional		$32.34	$32.34	$1,636.99
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 $970.47 / $1,423.17 / $2,265.69	Professional		$970.47	$1,423.17	$2,265.69