Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,315.61 / $6,897.21	Facility		$1,129.00	$3,315.61	$6,897.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,040.94 / $2,440.85 / $3,821.46	Professional		$2,040.94	$2,440.85	$3,821.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,802.95 / $23,107.92 / $46,273.60	Facility		$10,802.95	$23,107.92	$46,273.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,450.27 / $2,903.27 / $3,379.59	Professional		$2,450.27	$2,903.27	$3,379.59
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 $2,145.40 / $2,962.75 / $4,767.21	Professional		$2,145.40	$2,962.75	$4,767.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.88 / $3,346.92 / $9,821.69	Professional		$2,047.88	$3,346.92	$9,821.69
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 $2,173.17 / $2,535.46 / $2,843.79	Professional		$2,173.17	$2,535.46	$2,843.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,215.67	Professional		$32.34	$32.34	$3,215.67
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 $2,141.55 / $3,053.27 / $4,958.09	Professional		$2,141.55	$3,053.27	$4,958.09