Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,956.44 / $7,574.48	Facility		$1,129.00	$3,956.44	$7,574.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,917.73 / $3,821.66 / $6,276.64	Professional		$2,917.73	$3,821.66	$6,276.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,510.71 / $37,456.08 / $75,005.80	Facility		$17,510.71	$37,456.08	$75,005.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,965.55 / $4,698.68 / $5,872.30	Professional		$3,965.55	$4,698.68	$5,872.30
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 $3,144.09 / $4,833.70 / $7,768.09	Professional		$3,144.09	$4,833.70	$7,768.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,351.66 / $5,229.25 / $18,465.97	Professional		$3,351.66	$5,229.25	$18,465.97
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 $3,555.88 / $4,120.01 / $4,602.42	Professional		$3,555.88	$4,120.01	$4,602.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,204.27	Professional		$32.34	$32.34	$5,204.27
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 $3,468.81 / $4,861.50 / $7,499.80	Professional		$3,468.81	$4,861.50	$7,499.80