Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.43 / $2,758.00 / $5,580.00	Facility		$1,054.43	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.38 / $1,054.43 / $1,926.39	Professional		$869.38	$1,054.43	$1,926.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,319.56 / $24,656.34	Facility		$8,538.45	$12,319.56	$24,656.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,259.75 / $1,741.94 / $2,121.80	Professional		$1,259.75	$1,741.94	$2,121.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.11 / $1,518.29 / $2,178.71	Professional		$1,055.11	$1,518.29	$2,178.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.83 / $1,728.45 / $4,254.01	Professional		$1,202.83	$1,728.45	$4,254.01
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 $1,207.25 / $1,314.03 / $1,462.06	Professional		$1,207.25	$1,314.03	$1,462.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,653.25	Professional		$32.34	$32.34	$1,653.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.79 / $1,329.50 / $2,296.89	Professional		$984.79	$1,329.50	$2,296.89