Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,041.66 / $5,091.00	Facility		$923.00	$2,041.66	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.37 / $1,095.73 / $2,041.66	Professional		$904.37	$1,095.73	$2,041.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $12,170.10 / $25,021.18	Facility		$7,677.08	$12,170.10	$25,021.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.47 / $1,773.34 / $2,029.81	Professional		$1,348.47	$1,773.34	$2,029.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $7,619.73 / $8,506.52	Facility		$620.00	$7,619.73	$8,506.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.70 / $1,592.08 / $2,324.83	Professional		$1,082.70	$1,592.08	$2,324.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.55 / $1,814.98 / $4,886.50	Professional		$1,239.55	$1,814.98	$4,886.50
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 $1,258.56 / $1,379.81 / $1,534.68	Professional		$1,258.56	$1,379.81	$1,534.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,735.36	Professional		$32.34	$32.34	$1,735.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,132.00 / $5,951.00 / $12,241.00	Facility		$2,132.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.05 / $1,472.77 / $2,431.88	Professional		$1,058.05	$1,472.77	$2,431.88