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 / $5,549.00	Facility		$1,129.00	$3,221.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.31 / $1,674.37 / $3,227.77	Professional		$1,444.31	$1,674.37	$3,227.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,663.50 / $44,200.00 / $88,510.50	Facility		$20,663.50	$44,200.00	$88,510.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,525.00 / $5,525.00 / $5,525.00	Professional		$5,525.00	$5,525.00	$5,525.00
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 $1,482.38 / $2,381.14 / $3,443.64	Professional		$1,482.38	$2,381.14	$3,443.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,786.13 / $2,747.73 / $11,188.29	Professional		$1,786.13	$2,747.73	$11,188.29
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 $2,034.10 / $2,110.88 / $2,292.94	Professional		$2,034.10	$2,110.88	$2,292.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,592.80	Professional		$32.34	$32.34	$2,592.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,566.53 / $2,147.98 / $3,933.43	Professional		$1,566.53	$2,147.98	$3,933.43