Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,157.00 / $5,393.00	Facility		$923.00	$2,157.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.18 / $1,087.83 / $1,862.15	Professional		$903.18	$1,087.83	$1,862.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,727.75 / $25,473.29	Facility		$8,538.45	$12,727.75	$25,473.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.03 / $1,786.58 / $2,174.46	Professional		$1,292.03	$1,786.58	$2,174.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $1,553.83 / $2,191.63	Professional		$1,087.68	$1,553.83	$2,191.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,211.16 / $1,771.37 / $4,118.18	Professional		$1,211.16	$1,771.37	$4,118.18
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 $1,252.95 / $1,346.66 / $1,499.54	Professional		$1,252.95	$1,346.66	$1,499.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,695.63	Professional		$32.34	$32.34	$1,695.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.10 / $1,313.96 / $2,233.62	Professional		$961.10	$1,313.96	$2,233.62