Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.73 / $5,091.00	Facility		$923.00	$2,118.73	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.45 / $1,137.01 / $2,118.73	Professional		$950.45	$1,137.01	$2,118.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $12,416.85 / $25,963.66	Facility		$7,677.08	$12,416.85	$25,963.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,399.37 / $1,840.27 / $2,106.41	Professional		$1,399.37	$1,840.27	$2,106.41
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 $1,123.30 / $1,652.16 / $2,416.33	Professional		$1,123.30	$1,652.16	$2,416.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.33 / $1,883.46 / $4,758.58	Professional		$1,286.33	$1,883.46	$4,758.58
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 $1,305.77 / $1,431.87 / $1,592.60	Professional		$1,305.77	$1,431.87	$1,592.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,800.87	Professional		$32.34	$32.34	$1,800.87
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 $1,090.72 / $1,495.65 / $2,523.86	Professional		$1,090.72	$1,495.65	$2,523.86