Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,368.00 / $5,430.00	Facility		$1,017.00	$2,368.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.67 / $1,142.30 / $1,876.69	Professional		$1,003.67	$1,142.30	$1,876.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,037.47 / $11,389.35 / $24,841.62	Facility		$5,037.47	$11,389.35	$24,841.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.26 / $1,756.60 / $2,116.77	Professional		$1,473.26	$1,756.60	$2,116.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.43 / $1,521.59 / $2,435.71	Professional		$895.43	$1,521.59	$2,435.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $446.55 / $732.42 / $7,917.47	Professional		$446.55	$732.42	$7,917.47
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 $525.36 / $560.53 / $614.29	Professional		$525.36	$560.53	$614.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,169.65 / $1,587.96 / $2,839.57	Professional		$1,169.65	$1,587.96	$2,839.57