Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,148.00 / $8,125.00	Facility		$1,017.00	$3,148.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.28 / $752.84 / $1,378.15	Professional		$655.28	$752.84	$1,378.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,754.04 / $17,603.97	Facility		$7,070.62	$9,754.04	$17,603.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.25 / $1,240.69 / $1,318.33	Professional		$897.25	$1,240.69	$1,318.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $5,676.58 / $6,337.22	Facility		$1,383.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.67 / $1,068.47 / $1,548.94	Professional		$720.67	$1,068.47	$1,548.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $834.20 / $1,228.36 / $3,042.46	Professional		$834.20	$1,228.36	$3,042.46
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 $875.50 / $939.34 / $1,041.34	Professional		$875.50	$939.34	$1,041.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,177.53	Professional		$32.34	$32.34	$1,177.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.71 / $950.86 / $1,638.53	Professional		$696.71	$950.86	$1,638.53