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 $1,209.36 / $1,448.70 / $2,712.81	Professional		$1,209.36	$1,448.70	$2,712.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,472.29 / $15,167.04 / $33,081.23	Facility		$8,472.29	$15,167.04	$33,081.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,785.34 / $2,347.86 / $2,687.28	Professional		$1,785.34	$2,347.86	$2,687.28
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 $1,424.03 / $2,110.02 / $3,078.65	Professional		$1,424.03	$2,110.02	$3,078.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.12 / $2,391.34 / $6,470.29	Professional		$1,636.12	$2,391.34	$6,470.29
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 $1,659.72 / $1,826.73 / $2,031.86	Professional		$1,659.72	$1,826.73	$2,031.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,297.57	Professional		$32.34	$32.34	$2,297.57
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 $1,393.32 / $2,030.25 / $3,229.66	Professional		$1,393.32	$2,030.25	$3,229.66