Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,875.07 / $7,000.00	Facility		$1,017.00	$2,875.07	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.54 / $1,024.58 / $1,757.99	Professional		$884.54	$1,024.58	$1,757.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,138.23 / $23,958.47	Facility		$8,538.45	$12,138.23	$23,958.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,229.40 / $1,699.98 / $2,066.21	Professional		$1,229.40	$1,699.98	$2,066.21
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 $991.30 / $1,469.65 / $2,085.39	Professional		$991.30	$1,469.65	$2,085.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.69 / $1,683.19 / $4,445.97	Professional		$1,131.69	$1,683.19	$4,445.97
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 $1,215.32 / $1,279.61 / $1,426.84	Professional		$1,215.32	$1,279.61	$1,426.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,613.43	Professional		$32.34	$32.34	$1,613.43
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 $924.34 / $1,237.33 / $2,099.06	Professional		$924.34	$1,237.33	$2,099.06