Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,221.00 / $5,580.00	Facility		$1,129.00	$3,221.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,220.54 / $2,707.43 / $5,017.92	Professional		$2,220.54	$2,707.43	$5,017.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,523.09 / $35,343.51 / $70,775.39	Facility		$16,523.09	$35,343.51	$70,775.39
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 $2,686.57 / $3,892.09 / $5,643.46	Professional		$2,686.57	$3,892.09	$5,643.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,027.18 / $4,433.53 / $12,398.03	Professional		$3,027.18	$4,433.53	$12,398.03
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 $3,055.96 / $3,370.52 / $3,747.94	Professional		$3,055.96	$3,370.52	$3,747.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,238.05	Professional		$32.34	$32.34	$4,238.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,583.23 / $3,451.98 / $5,939.88	Professional		$2,583.23	$3,451.98	$5,939.88