Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.00 / $3,700.00 / $7,273.75	Facility		$1,105.00	$3,700.00	$7,273.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,846.53 / $2,304.23 / $3,960.34	Professional		$1,846.53	$2,304.23	$3,960.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,322.63 / $32,775.68 / $65,633.28	Facility		$15,322.63	$32,775.68	$65,633.28
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 $1,865.88 / $3,468.60 / $4,723.34	Professional		$1,865.88	$3,468.60	$4,723.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,594.07 / $4,040.15 / $11,576.99	Professional		$2,594.07	$4,040.15	$11,576.99
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 $2,497.98 / $3,028.49 / $3,501.46	Professional		$2,497.98	$3,028.49	$3,501.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,959.34	Professional		$32.34	$32.34	$3,959.34
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 $1,999.47 / $2,750.21 / $5,245.16	Professional		$1,999.47	$2,750.21	$5,245.16