Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.00 / $1,984.21 / $5,091.00	Facility		$941.00	$1,984.21	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.77 / $1,066.81 / $1,984.21	Professional		$891.77	$1,066.81	$1,984.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $11,848.93 / $24,360.85	Facility		$7,677.08	$11,848.93	$24,360.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.46 / $1,724.67 / $1,974.25	Professional		$1,311.46	$1,724.67	$1,974.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $8,928.37 / $9,967.46	Facility		$620.00	$8,928.37	$9,967.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.51 / $1,548.50 / $2,239.48	Professional		$1,051.51	$1,548.50	$2,239.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,205.52 / $1,765.28 / $4,464.88	Professional		$1,205.52	$1,765.28	$4,464.88
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 $1,225.13 / $1,342.03 / $1,492.54	Professional		$1,225.13	$1,342.03	$1,492.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,687.72	Professional		$32.34	$32.34	$1,687.72
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 $1,016.06 / $1,418.88 / $2,365.19	Professional		$1,016.06	$1,418.88	$2,365.19