Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,375.88 / $5,430.00	Facility		$1,207.00	$2,375.88	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,372.05 / $1,641.57 / $2,550.73	Professional		$1,372.05	$1,641.57	$2,550.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,265.39 / $15,540.96 / $31,120.77	Facility		$7,265.39	$15,540.96	$31,120.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.72 / $1,959.46 / $2,280.39	Professional		$1,653.72	$1,959.46	$2,280.39
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 $1,460.78 / $2,043.51 / $3,137.21	Professional		$1,460.78	$2,043.51	$3,137.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.26 / $2,188.29 / $5,316.73	Professional		$1,403.26	$2,188.29	$5,316.73
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 $1,488.99 / $1,710.83 / $1,919.31	Professional		$1,488.99	$1,710.83	$1,919.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,170.29	Professional		$32.34	$32.34	$2,170.29
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 $1,471.33 / $1,964.91 / $3,033.82	Professional		$1,471.33	$1,964.91	$3,033.82