Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.65 / $2,758.00 / $5,580.00	Facility		$1,006.65	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.96 / $1,006.65 / $1,826.93	Professional		$834.96	$1,006.65	$1,826.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,024.05 / $23,538.88	Facility		$8,538.45	$12,024.05	$23,538.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,201.36 / $1,661.22 / $2,021.69	Professional		$1,201.36	$1,661.22	$2,021.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.25 / $1,444.65 / $2,037.84	Professional		$1,011.25	$1,444.65	$2,037.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,113.89 / $1,646.90 / $4,746.60	Professional		$1,113.89	$1,646.90	$4,746.60
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 $1,166.83 / $1,252.03 / $1,394.32	Professional		$1,166.83	$1,252.03	$1,394.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,576.65	Professional		$32.34	$32.34	$1,576.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,272.00 / $8,168.00	Facility		$1,690.00	$5,272.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.81 / $1,202.10 / $2,179.21	Professional		$897.81	$1,202.10	$2,179.21