Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,429.09 / $5,549.00	Facility		$1,159.00	$3,429.09	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.87 / $2,095.79 / $3,429.09	Professional		$1,620.87	$2,095.79	$3,429.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,432.69 / $24,454.96 / $48,971.05	Facility		$11,432.69	$24,454.96	$48,971.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,227.08 / $3,210.67 / $3,396.45	Professional		$2,227.08	$3,210.67	$3,396.45
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 $1,936.75 / $2,751.10 / $4,155.79	Professional		$1,936.75	$2,751.10	$4,155.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,930.82 / $3,095.92 / $8,379.45	Professional		$1,930.82	$3,095.92	$8,379.45
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 $1,961.49 / $2,281.88 / $2,559.42	Professional		$1,961.49	$2,281.88	$2,559.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,953.19	Professional		$32.34	$32.34	$2,953.19
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,965.38 / $2,835.75 / $4,405.39	Professional		$1,965.38	$2,835.75	$4,405.39