Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,158.41 / $5,393.00	Facility		$923.00	$2,158.41	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.79 / $1,179.39 / $2,158.41	Professional		$1,025.79	$1,179.39	$2,158.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,938.16 / $12,644.03 / $27,578.22	Facility		$3,938.16	$12,644.03	$27,578.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.45 / $1,946.17 / $2,358.53	Professional		$1,407.45	$1,946.17	$2,358.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $2,338.66 / $2,610.83	Facility		$709.00	$2,338.66	$2,610.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.64 / $1,685.35 / $2,422.52	Professional		$1,131.64	$1,685.35	$2,422.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,319.35 / $1,966.25 / $5,016.43	Professional		$1,319.35	$1,966.25	$5,016.43
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 $1,304.71 / $1,460.64 / $1,633.48	Professional		$1,304.71	$1,460.64	$1,633.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,847.08	Professional		$32.34	$32.34	$1,847.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,089.68 / $1,458.81 / $2,565.23	Professional		$1,089.68	$1,458.81	$2,565.23