Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,985.36 / $3,570.47 / $5,530.61	Professional		$2,985.36	$3,570.47	$5,530.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,802.47 / $33,802.08 / $67,688.66	Facility		$15,802.47	$33,802.08	$67,688.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,586.15 / $4,249.14 / $4,945.47	Professional		$3,586.15	$4,249.14	$4,945.47
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 $2,786.03 / $4,332.24 / $6,927.99	Professional		$2,786.03	$4,332.24	$6,927.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,905.53 / $4,566.46 / $12,965.54	Professional		$2,905.53	$4,566.46	$12,965.54
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 $3,177.49 / $3,710.25 / $4,162.08	Professional		$3,177.49	$3,710.25	$4,162.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,706.35	Professional		$32.34	$32.34	$4,706.35
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 $3,012.04 / $4,331.25 / $7,246.97	Professional		$3,012.04	$4,331.25	$7,246.97