Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,905.88 / $6,661.00	Facility		$1,017.00	$2,905.88	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.17 / $1,574.10 / $2,905.88	Professional		$1,298.17	$1,574.10	$2,905.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,378.92 / $20,394.68 / $36,808.03	Facility		$15,378.92	$20,394.68	$36,808.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,876.52 / $2,594.80 / $3,170.35	Professional		$1,876.52	$2,594.80	$3,170.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $17,518.45 / $19,557.25	Facility		$875.00	$17,518.45	$19,557.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,583.18 / $2,261.66 / $3,322.89	Professional		$1,583.18	$2,261.66	$3,322.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.07 / $2,643.04 / $6,336.65	Professional		$1,759.07	$2,643.04	$6,336.65
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 $1,798.89 / $1,963.40 / $2,177.89	Professional		$1,798.89	$1,963.40	$2,177.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,462.69	Professional		$32.34	$32.34	$2,462.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $8,100.00 / $24,503.00	Facility		$2,600.00	$8,100.00	$24,503.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,477.28 / $2,029.30 / $3,473.47	Professional		$1,477.28	$2,029.30	$3,473.47