Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,728.00 / $5,393.00	Facility		$923.00	$2,728.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.39 / $1,574.37 / $2,823.77	Professional		$1,219.39	$1,574.37	$2,823.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $17,498.80 / $38,167.08	Facility		$2,687.00	$17,498.80	$38,167.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,070.51 / $2,722.88 / $3,000.12	Professional		$2,070.51	$2,722.88	$3,000.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,799.73 / $2,009.18	Facility		$709.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,443.26 / $2,267.38 / $3,149.32	Professional		$1,443.26	$2,267.38	$3,149.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,679.87 / $2,619.25 / $5,621.64	Professional		$1,679.87	$2,619.25	$5,621.64
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 $1,692.31 / $2,039.39 / $2,356.42	Professional		$1,692.31	$2,039.39	$2,356.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,664.57	Professional		$32.34	$32.34	$2,664.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,392.79 / $1,972.75 / $3,537.12	Professional		$1,392.79	$1,972.75	$3,537.12