Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,009.18 / $6,661.00	Facility		$1,017.00	$3,009.18	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,333.23 / $1,623.34 / $3,009.18	Professional		$1,333.23	$1,623.34	$3,009.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,907.07 / $21,191.60 / $42,436.17	Facility		$9,907.07	$21,191.60	$42,436.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,938.79 / $2,680.90 / $3,266.70	Professional		$1,938.79	$2,680.90	$3,266.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.53 / $2,314.51 / $3,390.35	Professional		$1,565.53	$2,314.51	$3,390.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,817.43 / $2,661.10 / $9,696.04	Professional		$1,817.43	$2,661.10	$9,696.04
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 $1,841.05 / $2,023.06 / $2,250.16	Professional		$1,841.05	$2,023.06	$2,250.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,544.41	Professional		$32.34	$32.34	$2,544.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,482.93 / $2,036.76 / $3,577.59	Professional		$1,482.93	$2,036.76	$3,577.59