Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,994.06 / $5,389.00	Facility		$1,017.00	$1,994.06	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.90 / $1,093.88 / $1,994.06	Professional		$981.90	$1,093.88	$1,994.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,729.32 / $10,995.47 / $25,578.76	Facility		$3,729.32	$10,995.47	$25,578.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.23 / $1,789.63 / $2,173.44	Professional		$1,294.23	$1,789.63	$2,173.44
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 $1,139.14 / $1,559.86 / $2,211.76	Professional		$1,139.14	$1,559.86	$2,211.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.93 / $1,816.95 / $4,330.07	Professional		$1,138.93	$1,816.95	$4,330.07
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 $1,204.29 / $1,346.01 / $1,502.09	Professional		$1,204.29	$1,346.01	$1,502.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,733.18	Professional		$32.34	$32.34	$1,733.18
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,588.00 / $5,026.00	Facility		$749.00	$2,588.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.82 / $1,452.49 / $2,529.96	Professional		$1,101.82	$1,452.49	$2,529.96