Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.45 / $1,805.67 / $5,549.00	Facility		$1,114.45	$1,805.67	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.67 / $1,114.45 / $1,804.07	Professional		$862.67	$1,114.45	$1,804.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,079.44 / $13,004.16 / $26,040.83	Facility		$6,079.44	$13,004.16	$26,040.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,186.30 / $1,710.23 / $1,812.29	Professional		$1,186.30	$1,710.23	$1,812.29
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 $1,022.33 / $1,415.77 / $1,992.57	Professional		$1,022.33	$1,415.77	$1,992.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.25 / $1,604.54 / $3,971.50	Professional		$1,030.25	$1,604.54	$3,971.50
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 $1,070.15 / $1,217.57 / $1,363.34	Professional		$1,070.15	$1,217.57	$1,363.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,573.08	Professional		$32.34	$32.34	$1,573.08
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 $984.52 / $1,416.77 / $2,511.71	Professional		$984.52	$1,416.77	$2,511.71