Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,848.00 / $5,091.00	Facility		$800.00	$1,848.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.18 / $1,319.19 / $2,467.44	Professional		$1,073.18	$1,319.19	$2,467.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,862.07 / $13,811.19 / $30,123.95	Facility		$7,862.07	$13,811.19	$30,123.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,623.61 / $2,135.17 / $2,444.29	Professional		$1,623.61	$2,135.17	$2,444.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $6,011.78 / $6,711.43	Facility		$463.00	$6,011.78	$6,711.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.45 / $1,917.18 / $2,678.56	Professional		$1,285.45	$1,917.18	$2,678.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.46 / $2,174.73 / $7,868.50	Professional		$1,492.46	$2,174.73	$7,868.50
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 $1,509.68 / $1,661.56 / $1,847.81	Professional		$1,509.68	$1,661.56	$1,847.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,089.44	Professional		$32.34	$32.34	$2,089.44
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 $1,211.42 / $1,729.26 / $2,938.14	Professional		$1,211.42	$1,729.26	$2,938.14