Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.11 / $2,747.00 / $6,661.00	Facility		$1,000.11	$2,747.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.58 / $1,000.11 / $1,953.12	Professional		$859.58	$1,000.11	$1,953.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,374.83 / $23,386.13	Facility		$7,091.59	$11,374.83	$23,386.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.51 / $1,640.66 / $2,049.94	Professional		$1,186.51	$1,640.66	$2,049.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,676.58 / $6,337.22	Facility		$875.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $992.52 / $1,430.02 / $2,165.73	Professional		$992.52	$1,430.02	$2,165.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.72 / $1,669.92 / $5,088.88	Professional		$1,142.72	$1,669.92	$5,088.88
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 $1,217.06 / $1,269.53 / $1,377.06	Professional		$1,217.06	$1,269.53	$1,377.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,557.14	Professional		$32.34	$32.34	$1,557.14
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 $977.80 / $1,311.31 / $2,406.12	Professional		$977.80	$1,311.31	$2,406.12