Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,585.00 / $5,393.00	Facility		$923.00	$2,585.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.34 / $1,393.29 / $2,609.46	Professional		$1,143.34	$1,393.29	$2,609.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,303.69 / $14,586.97 / $31,816.03	Facility		$8,303.69	$14,586.97	$31,816.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,716.87 / $2,257.81 / $2,584.23	Professional		$1,716.87	$2,257.81	$2,584.23
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 $1,336.68 / $2,029.09 / $2,960.02	Professional		$1,336.68	$2,029.09	$2,960.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.18 / $2,327.92 / $7,284.71	Professional		$1,578.18	$2,327.92	$7,284.71
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 $1,596.48 / $1,756.68 / $1,953.94	Professional		$1,596.48	$1,756.68	$1,953.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,209.44	Professional		$32.34	$32.34	$2,209.44
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 $1,318.84 / $1,918.58 / $3,105.50	Professional		$1,318.84	$1,918.58	$3,105.50