Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,965.12 / $7,000.00	Facility		$1,017.00	$2,965.12	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.25 / $1,056.15 / $1,929.30	Professional		$875.25	$1,056.15	$1,929.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,339.61 / $24,696.46	Facility		$8,538.45	$12,339.61	$24,696.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,261.29 / $1,744.07 / $2,130.94	Professional		$1,261.29	$1,744.07	$2,130.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $6,831.39 / $7,626.43	Facility		$996.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.31 / $1,489.08 / $2,188.30	Professional		$1,028.31	$1,489.08	$2,188.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.03 / $1,741.47 / $4,302.91	Professional		$1,208.03	$1,741.47	$4,302.91
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 $1,221.22 / $1,319.70 / $1,463.85	Professional		$1,221.22	$1,319.70	$1,463.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,655.28	Professional		$32.34	$32.34	$1,655.28
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 $1,000.93 / $1,329.55 / $2,298.39	Professional		$1,000.93	$1,329.55	$2,298.39