Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $3,073.00 / $7,123.00	Facility		$974.00	$3,073.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.11 / $1,746.46 / $3,227.37	Professional		$1,412.11	$1,746.46	$3,227.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,658.43 / $22,798.80 / $45,654.59	Facility		$10,658.43	$22,798.80	$45,654.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,849.48 / $1,849.48 / $3,466.01	Professional		$1,849.48	$1,849.48	$3,466.01
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 $1,744.58 / $2,500.21 / $3,735.79	Professional		$1,744.58	$2,500.21	$3,735.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,908.35 / $2,889.53 / $9,051.32	Professional		$1,908.35	$2,889.53	$9,051.32
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 $1,911.03 / $2,146.51 / $2,407.61	Professional		$1,911.03	$2,146.51	$2,407.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,722.45	Professional		$32.34	$32.34	$2,722.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,673.75 / $2,359.67 / $3,946.66	Professional		$1,673.75	$2,359.67	$3,946.66