Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,931.95 / $5,549.00	Facility		$1,129.00	$2,931.95	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.08 / $1,582.64 / $2,931.95	Professional		$1,301.08	$1,582.64	$2,931.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,658.66 / $20,660.24 / $41,372.12	Facility		$9,658.66	$20,660.24	$41,372.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,892.40 / $2,616.75 / $3,188.33	Professional		$1,892.40	$2,616.75	$3,188.33
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 $1,554.20 / $2,278.30 / $3,336.38	Professional		$1,554.20	$2,278.30	$3,336.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,773.94 / $2,599.54 / $7,312.77	Professional		$1,773.94	$2,599.54	$7,312.77
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 $1,800.36 / $1,974.53 / $2,196.31	Professional		$1,800.36	$1,974.53	$2,196.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,483.52	Professional		$32.34	$32.34	$2,483.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.48 / $2,018.31 / $3,484.96	Professional		$1,485.48	$2,018.31	$3,484.96