Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,243.00 / $5,091.00	Facility		$923.00	$2,243.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.20 / $1,220.58 / $2,331.26	Professional		$1,014.20	$1,220.58	$2,331.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $13,085.79 / $28,541.77	Facility		$4,464.57	$13,085.79	$28,541.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,139.57 / $1,829.86 / $2,716.20	Professional		$1,139.57	$1,829.86	$2,716.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.54 / $2,105.71 / $4,942.18	Professional		$1,329.54	$2,105.71	$4,942.18
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 $1,349.19 / $1,610.26 / $1,858.45	Professional		$1,349.19	$1,610.26	$1,858.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,101.48	Professional		$32.34	$32.34	$2,101.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.34 / $1,534.14 / $2,779.40	Professional		$1,128.34	$1,534.14	$2,779.40