Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,062.18	Facility		$1,129.00	$3,270.00	$6,062.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.77 / $2,144.71 / $3,616.81	Professional		$1,426.77	$2,144.71	$3,616.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,492.26 / $20,304.32 / $40,659.40	Facility		$9,492.26	$20,304.32	$40,659.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,153.88 / $2,552.07 / $3,413.47	Professional		$2,153.88	$2,552.07	$3,413.47
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 $1,891.17 / $2,610.44 / $3,812.46	Professional		$1,891.17	$2,610.44	$3,812.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.30 / $2,828.48 / $11,088.33	Professional		$1,818.30	$2,828.48	$11,088.33
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 $1,913.35 / $2,228.50 / $2,499.78	Professional		$1,913.35	$2,228.50	$2,499.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,826.68	Professional		$32.34	$32.34	$2,826.68
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 $1,809.17 / $2,474.37 / $4,352.85	Professional		$1,809.17	$2,474.37	$4,352.85