Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,610.46 / $5,430.00	Facility		$1,017.00	$2,610.46	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.25 / $1,383.36 / $2,610.46	Professional		$1,153.25	$1,383.36	$2,610.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,831.58 / $14,830.85 / $32,347.96	Facility		$7,831.58	$14,830.85	$32,347.96
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 $1,160.31 / $1,954.18 / $2,785.24	Professional		$1,160.31	$1,954.18	$2,785.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.29 / $2,240.14 / $5,539.81	Professional		$1,461.29	$2,240.14	$5,539.81
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 $1,606.68 / $1,713.05 / $1,899.68	Professional		$1,606.68	$1,713.05	$1,899.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,148.10	Professional		$32.34	$32.34	$2,148.10
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 $1,245.36 / $1,637.34 / $3,051.89	Professional		$1,245.36	$1,637.34	$3,051.89