Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,758.00 / $5,580.00	Facility		$1,159.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.60 / $1,196.30 / $2,195.89	Professional		$985.60	$1,196.30	$2,195.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,606.20 / $27,973.73	Facility		$8,563.78	$13,606.20	$27,973.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,431.01 / $1,978.76 / $2,410.35	Professional		$1,431.01	$1,978.76	$2,410.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $8,658.56 / $9,666.24	Facility		$875.00	$8,658.56	$9,666.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.67 / $1,724.71 / $2,531.60	Professional		$1,205.67	$1,724.71	$2,531.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,366.42 / $2,009.44 / $4,822.66	Professional		$1,366.42	$2,009.44	$4,822.66
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 $1,367.41 / $1,492.73 / $1,660.83	Professional		$1,367.41	$1,492.73	$1,660.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,878.01	Professional		$32.34	$32.34	$1,878.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $7,400.00 / $17,033.00	Facility		$2,575.00	$7,400.00	$17,033.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.41 / $1,552.98 / $2,618.80	Professional		$1,146.41	$1,552.98	$2,618.80