Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,525.66 / $5,393.00	Facility		$923.00	$2,525.66	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,182.29 / $1,419.47 / $2,525.66	Professional		$1,182.29	$1,419.47	$2,525.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,662.84 / $15,217.89 / $33,192.14	Facility		$8,662.84	$15,217.89	$33,192.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,667.08 / $2,305.19 / $2,804.75	Professional		$1,667.08	$2,305.19	$2,804.75
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 $1,402.95 / $2,009.23 / $2,949.64	Professional		$1,402.95	$2,009.23	$2,949.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,582.91 / $2,306.90 / $7,102.70	Professional		$1,582.91	$2,306.90	$7,102.70
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 $1,623.15 / $1,736.98 / $1,934.82	Professional		$1,623.15	$1,736.98	$1,934.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,187.83	Professional		$32.34	$32.34	$2,187.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.74 / $1,760.14 / $2,995.16	Professional		$1,290.74	$1,760.14	$2,995.16