Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,142.33 / $5,549.00	Facility		$1,129.00	$3,142.33	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,410.96 / $1,680.15 / $3,095.44	Professional		$1,410.96	$1,680.15	$3,095.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,436.12 / $15,906.16 / $31,852.08	Facility		$7,436.12	$15,906.16	$31,852.08
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 $1,492.86 / $2,253.52 / $3,621.89	Professional		$1,492.86	$2,253.52	$3,621.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.17 / $2,299.81 / $6,460.90	Professional		$1,412.17	$2,299.81	$6,460.90
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 $1,501.50 / $1,748.40 / $1,953.06	Professional		$1,501.50	$1,748.40	$1,953.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,208.44	Professional		$32.34	$32.34	$2,208.44
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 $1,433.84 / $2,365.82 / $3,675.44	Professional		$1,433.84	$2,365.82	$3,675.44