Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.39 / $2,784.00 / $6,661.00	Facility		$920.39	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.33 / $920.39 / $1,673.64	Professional		$759.33	$920.39	$1,673.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,617.06 / $12,015.12 / $24,060.27	Facility		$5,617.06	$12,015.12	$24,060.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,102.61 / $1,524.67 / $1,856.54	Professional		$1,102.61	$1,524.67	$1,856.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.00 / $1,092.75 / $3,722.02	Professional		$956.00	$1,092.75	$3,722.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.29 / $1,515.22 / $3,288.75	Professional		$1,050.29	$1,515.22	$3,288.75
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 $1,056.78 / $1,149.76 / $1,279.71	Professional		$1,056.78	$1,149.76	$1,279.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,447.05	Professional		$32.34	$32.34	$1,447.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,055.00 / $14,468.00	Facility		$2,600.00	$7,055.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.44 / $1,156.98 / $1,991.65	Professional		$851.44	$1,156.98	$1,991.65