Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,560.45 / $7,406.53	Facility		$1,129.00	$3,560.45	$7,406.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,193.17 / $2,623.02 / $4,188.76	Professional		$2,193.17	$2,623.02	$4,188.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,609.18 / $24,832.48 / $49,727.04	Facility		$11,609.18	$24,832.48	$49,727.04
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 $2,324.76 / $3,279.11 / $5,058.50	Professional		$2,324.76	$3,279.11	$5,058.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,221.40 / $3,484.61 / $8,887.45	Professional		$2,221.40	$3,484.61	$8,887.45
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 $2,327.42 / $2,722.69 / $3,053.73	Professional		$2,327.42	$2,722.69	$3,053.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,194.67	Professional		$32.34	$32.34	$3,194.67
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 $2,214.46 / $3,261.89 / $5,327.99	Professional		$2,214.46	$3,261.89	$5,327.99