Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,755.00 / $5,549.00	Facility		$1,129.00	$2,755.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.29 / $1,311.25 / $2,527.16	Professional		$1,140.29	$1,311.25	$2,527.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,831.58 / $14,057.76 / $30,661.75	Facility		$7,831.58	$14,057.76	$30,661.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,543.00 / $2,133.61 / $2,652.44	Professional		$1,543.00	$2,133.61	$2,652.44
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 $1,189.84 / $1,859.68 / $2,859.03	Professional		$1,189.84	$1,859.68	$2,859.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.09 / $2,160.71 / $5,729.97	Professional		$1,429.09	$2,160.71	$5,729.97
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 $1,596.54 / $1,642.65 / $1,790.80	Professional		$1,596.54	$1,642.65	$1,790.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,024.98	Professional		$32.34	$32.34	$2,024.98
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 $1,285.16 / $1,744.09 / $3,119.47	Professional		$1,285.16	$1,744.09	$3,119.47