Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $1,922.07 / $5,091.00	Facility		$923.00	$1,922.07	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.82 / $1,034.41 / $1,922.07	Professional		$853.82	$1,034.41	$1,922.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $11,505.48 / $23,620.85	Facility		$7,677.08	$11,505.48	$23,620.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.88 / $1,671.31 / $1,911.48	Professional		$1,270.88	$1,671.31	$1,911.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.32 / $1,502.00 / $2,113.92	Professional		$900.32	$1,502.00	$2,113.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.22 / $1,749.14 / $4,259.47	Professional		$1,168.22	$1,749.14	$4,259.47
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 $1,199.95 / $1,299.35 / $1,446.37	Professional		$1,199.95	$1,299.35	$1,446.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,635.51	Professional		$32.34	$32.34	$1,635.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,050.00 / $5,619.00 / $12,241.00	Facility		$2,050.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $1,415.45 / $2,289.30	Professional		$960.78	$1,415.45	$2,289.30