Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,123.00	Facility		$1,017.00	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.44 / $1,063.29 / $1,945.00	Professional		$884.44	$1,063.29	$1,945.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $11,478.97 / $25,037.08	Facility		$4,464.57	$11,478.97	$25,037.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,282.51 / $1,773.41 / $2,158.80	Professional		$1,282.51	$1,773.41	$2,158.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $3,072.73 / $3,430.33	Facility		$996.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.48 / $1,431.23 / $2,175.46	Professional		$812.48	$1,431.23	$2,175.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.45 / $1,717.47 / $4,625.26	Professional		$1,055.45	$1,717.47	$4,625.26
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 $1,232.71 / $1,336.95 / $1,488.47	Professional		$1,232.71	$1,336.95	$1,488.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,683.12	Professional		$32.34	$32.34	$1,683.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $948.24 / $1,263.85 / $2,321.17	Professional		$948.24	$1,263.85	$2,321.17