Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,157.00 / $5,405.00	Facility		$1,129.00	$2,157.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.19 / $1,218.06 / $1,871.53	Professional		$947.19	$1,218.06	$1,871.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,644.63 / $11,469.87 / $25,459.25	Facility		$6,644.63	$11,469.87	$25,459.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.29 / $1,807.22 / $1,924.90	Professional		$1,125.29	$1,807.22	$1,924.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.52 / $1,496.06 / $1,972.58	Professional		$702.52	$1,496.06	$1,972.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.82 / $1,662.29 / $3,495.21	Professional		$1,018.82	$1,662.29	$3,495.21
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 $1,268.94 / $1,293.23 / $1,440.65	Professional		$1,268.94	$1,293.23	$1,440.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,662.29	Professional		$32.34	$32.34	$1,662.29
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,349.22 / $2,395.04	Professional		$920.41	$1,349.22	$2,395.04