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 $1,160.80 / $1,390.90 / $2,745.86	Professional		$1,160.80	$1,390.90	$2,745.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,289.41 / $14,561.87 / $31,761.29	Facility		$8,289.41	$14,561.87	$31,761.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,713.94 / $2,253.96 / $2,579.62	Professional		$1,713.94	$2,253.96	$2,579.62
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 $1,372.80 / $2,023.32 / $2,971.73	Professional		$1,372.80	$2,023.32	$2,971.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.49 / $2,316.92 / $8,046.88	Professional		$1,575.49	$2,316.92	$8,046.88
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 $1,594.37 / $1,753.54 / $1,950.61	Professional		$1,594.37	$1,753.54	$1,950.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,205.69	Professional		$32.34	$32.34	$2,205.69
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 $1,315.05 / $1,913.89 / $3,096.85	Professional		$1,315.05	$1,913.89	$3,096.85