Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,800.00 / $5,580.00	Facility		$1,159.00	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.51 / $1,599.47 / $2,673.72	Professional		$1,259.51	$1,599.47	$2,673.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,831.58 / $14,370.97 / $33,431.17	Facility		$7,831.58	$14,370.97	$33,431.17
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 $1,472.05 / $2,005.29 / $2,993.62	Professional		$1,472.05	$2,005.29	$2,993.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.55 / $2,339.51 / $6,191.77	Professional		$1,470.55	$2,339.51	$6,191.77
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 $1,668.24 / $1,737.92 / $1,914.54	Professional		$1,668.24	$1,737.92	$1,914.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,209.08	Professional		$32.34	$32.34	$2,209.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,483.19 / $2,237.27 / $3,250.09	Professional		$1,483.19	$2,237.27	$3,250.09