Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,195.96 / $2,700.83 / $4,310.38	Professional		$2,195.96	$2,700.83	$4,310.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,953.56 / $25,569.12 / $51,202.16	Facility		$11,953.56	$25,569.12	$51,202.16
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 $2,392.26 / $3,350.78 / $4,825.54	Professional		$2,392.26	$3,350.78	$4,825.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,287.50 / $3,556.06 / $9,256.60	Professional		$2,287.50	$3,556.06	$9,256.60
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 $2,387.85 / $2,801.75 / $3,142.96	Professional		$2,387.85	$2,801.75	$3,142.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,553.96	Professional		$32.34	$32.34	$3,553.96
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 $2,279.42 / $3,326.53 / $5,484.28	Professional		$2,279.42	$3,326.53	$5,484.28