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 / $6,698.54	Facility		$1,129.00	$3,270.00	$6,698.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,981.00 / $2,369.25 / $3,708.70	Professional		$1,981.00	$2,369.25	$3,708.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,486.02 / $22,430.00 / $44,916.07	Facility		$10,486.02	$22,430.00	$44,916.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,380.00 / $2,820.00 / $3,282.23	Professional		$2,380.00	$2,820.00	$3,282.23
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 $2,102.53 / $2,962.27 / $4,642.81	Professional		$2,102.53	$2,962.27	$4,642.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,007.91 / $3,187.19 / $8,805.23	Professional		$2,007.91	$3,187.19	$8,805.23
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 $2,110.55 / $2,462.42 / $2,762.23	Professional		$2,110.55	$2,462.42	$2,762.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,123.44	Professional		$32.34	$32.34	$3,123.44
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 $2,000.09 / $2,890.26 / $4,812.22	Professional		$2,000.09	$2,890.26	$4,812.22