Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,989.00 / $7,123.00	Facility		$1,159.00	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.51 / $1,906.38 / $2,910.49	Professional		$1,502.51	$1,906.38	$2,910.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,708.25 / $17,128.55 / $39,846.14	Facility		$7,708.25	$17,128.55	$39,846.14
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 $1,729.72 / $2,375.64 / $3,295.32	Professional		$1,729.72	$2,375.64	$3,295.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.72 / $2,797.97 / $7,367.10	Professional		$1,758.72	$2,797.97	$7,367.10
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 $1,986.82 / $2,078.48 / $2,287.65	Professional		$1,986.82	$2,078.48	$2,287.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,639.60	Professional		$32.34	$32.34	$2,639.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,405.00 / $11,479.00	Facility		$1,400.00	$5,405.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,661.69 / $2,484.03 / $3,627.23	Professional		$1,661.69	$2,484.03	$3,627.23