Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,088.40 / $5,549.00	Facility		$1,129.00	$3,088.40	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.34 / $1,651.51 / $3,088.40	Professional		$1,390.34	$1,651.51	$3,088.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,003.88 / $17,705.55 / $38,618.06	Facility		$8,003.88	$17,705.55	$38,618.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $7,194.87 / $8,032.21	Facility		$875.00	$7,194.87	$8,032.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,653.45 / $2,344.02 / $3,447.92	Professional		$1,653.45	$2,344.02	$3,447.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,823.13 / $2,707.29 / $7,390.65	Professional		$1,823.13	$2,707.29	$7,390.65
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 $1,930.02 / $2,058.17 / $2,257.19	Professional		$1,930.02	$2,058.17	$2,257.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,552.38	Professional		$32.34	$32.34	$2,552.38
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 $1,551.70 / $2,158.14 / $3,590.87	Professional		$1,551.70	$2,158.14	$3,590.87