Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.98 / $2,157.00 / $5,393.00	Facility		$1,004.98	$2,157.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.04 / $994.03 / $1,730.87	Professional		$838.04	$994.03	$1,730.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $10,774.20 / $23,499.91	Facility		$4,464.57	$10,774.20	$23,499.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,178.45 / $1,629.53 / $1,981.50	Professional		$1,178.45	$1,629.53	$1,981.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $965.26 / $1,415.93 / $2,043.40	Professional		$965.26	$1,415.93	$2,043.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,104.69 / $1,614.15 / $5,070.77	Professional		$1,104.69	$1,614.15	$5,070.77
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 $1,157.92 / $1,227.14 / $1,367.72	Professional		$1,157.92	$1,227.14	$1,367.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,546.57	Professional		$32.34	$32.34	$1,546.57
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 $894.84 / $1,224.82 / $2,069.54	Professional		$894.84	$1,224.82	$2,069.54