Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,988.84 / $5,389.00	Facility		$923.00	$1,988.84	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.22 / $1,064.85 / $1,988.84	Professional		$897.22	$1,064.85	$1,988.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $11,827.25 / $24,316.29	Facility		$7,677.08	$11,827.25	$24,316.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.94 / $1,718.72 / $1,969.56	Professional		$1,306.94	$1,718.72	$1,969.56
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 $1,048.58 / $1,544.61 / $2,256.26	Professional		$1,048.58	$1,544.61	$2,256.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.36 / $1,761.09 / $4,877.49	Professional		$1,201.36	$1,761.09	$4,877.49
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 $1,224.44 / $1,338.84 / $1,487.41	Professional		$1,224.44	$1,338.84	$1,487.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,681.92	Professional		$32.34	$32.34	$1,681.92
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 $998.60 / $1,411.80 / $2,359.67	Professional		$998.60	$1,411.80	$2,359.67