Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,270.00 / $6,661.00	Facility		$1,017.00	$3,270.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,486.68 / $1,813.66 / $3,368.26	Professional		$1,486.68	$1,813.66	$3,368.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,068.53 / $23,676.00 / $47,411.19	Facility		$11,068.53	$23,676.00	$47,411.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,166.88 / $2,996.30 / $3,650.78	Professional		$2,166.88	$2,996.30	$3,650.78
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 $1,183.20 / $2,476.19 / $3,677.64	Professional		$1,183.20	$2,476.19	$3,677.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,476.96 / $2,877.61 / $7,285.61	Professional		$1,476.96	$2,877.61	$7,285.61
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 $2,053.66 / $2,260.92 / $2,514.89	Professional		$2,053.66	$2,260.92	$2,514.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,843.76	Professional		$32.34	$32.34	$2,843.76
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 $1,164.06 / $2,068.51 / $3,977.46	Professional		$1,164.06	$2,068.51	$3,977.46