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 $1,697.07 / $2,108.96 / $4,514.39	Professional		$1,697.07	$2,108.96	$4,514.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,038.98 / $30,029.92 / $60,134.91	Facility		$14,038.98	$30,029.92	$60,134.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,389.33 / $3,820.84 / $4,477.72	Professional		$2,389.33	$3,820.84	$4,477.72
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 $1,933.22 / $3,206.94 / $4,600.18	Professional		$1,933.22	$3,206.94	$4,600.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,368.63 / $3,732.96 / $9,783.94	Professional		$2,368.63	$3,732.96	$9,783.94
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 $2,280.90 / $2,773.06 / $3,206.94	Professional		$2,280.90	$2,773.06	$3,206.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,626.31	Professional		$32.34	$32.34	$3,626.31
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 $1,945.51 / $2,620.56 / $4,855.14	Professional		$1,945.51	$2,620.56	$4,855.14