Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,694.00 / $7,001.00	Facility		$1,105.00	$3,694.00	$7,001.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,809.80 / $2,208.98 / $4,127.88	Professional		$1,809.80	$2,208.98	$4,127.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,481.24 / $28,836.88 / $57,745.85	Facility		$13,481.24	$28,836.88	$57,745.85
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 $2,156.42 / $3,177.27 / $4,677.68	Professional		$2,156.42	$3,177.27	$4,677.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.83 / $3,622.09 / $7,256.00	Professional		$2,472.83	$3,622.09	$7,256.00
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 $2,488.19 / $2,753.63 / $3,061.60	Professional		$2,488.19	$2,753.63	$3,061.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,461.97	Professional		$32.34	$32.34	$3,461.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,082.56 / $2,822.54 / $4,906.97	Professional		$2,082.56	$2,822.54	$4,906.97