Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,401.56 / $5,393.00	Facility		$923.00	$2,401.56	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.80 / $1,284.85 / $2,401.56	Professional		$1,072.80	$1,284.85	$2,401.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $13,451.81 / $29,340.10	Facility		$7,677.08	$13,451.81	$29,340.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,582.54 / $2,081.17 / $2,381.98	Professional		$1,582.54	$2,081.17	$2,381.98
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 $1,268.10 / $1,868.31 / $2,729.76	Professional		$1,268.10	$1,868.31	$2,729.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,454.71 / $2,129.87 / $5,380.20	Professional		$1,454.71	$2,129.87	$5,380.20
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 $1,472.22 / $1,619.20 / $1,801.07	Professional		$1,472.22	$1,619.20	$1,801.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,036.60	Professional		$32.34	$32.34	$2,036.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,442.00	Facility		$2,100.00	$5,978.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.86 / $1,797.32 / $2,859.74	Professional		$1,217.86	$1,797.32	$2,859.74