Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,221.00 / $7,723.00	Facility		$1,105.00	$3,221.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.81 / $1,157.63 / $1,809.72	Professional		$1,016.81	$1,157.63	$1,809.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $12,786.59 / $27,889.18	Facility		$4,464.57	$12,786.59	$27,889.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.31 / $1,941.21 / $2,363.76	Professional		$1,261.31	$1,941.21	$2,363.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.85 / $1,723.78 / $2,539.82	Professional		$983.85	$1,723.78	$2,539.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.76 / $1,644.62 / $6,577.05	Professional		$1,033.76	$1,644.62	$6,577.05
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 $1,221.71 / $1,221.71 / $1,221.71	Professional		$1,221.71	$1,221.71	$1,221.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $861.38 / $1,267.74 / $2,012.33	Professional		$861.38	$1,267.74	$2,012.33