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 / $5,561.36	Facility		$1,129.00	$3,636.00	$5,561.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,434.71 / $2,911.91 / $4,653.85	Professional		$2,434.71	$2,911.91	$4,653.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,887.77 / $27,567.44 / $55,203.79	Facility		$12,887.77	$27,567.44	$55,203.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,923.51 / $3,464.00 / $4,032.10	Professional		$2,923.51	$3,464.00	$4,032.10
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 $2,582.89 / $3,581.22 / $4,975.92	Professional		$2,582.89	$3,581.22	$4,975.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,466.94 / $3,839.43 / $16,492.53	Professional		$2,466.94	$3,839.43	$16,492.53
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 $2,594.23 / $3,025.01 / $3,393.03	Professional		$2,594.23	$3,025.01	$3,393.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,836.73	Professional		$32.34	$32.34	$3,836.73
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 $2,456.26 / $3,558.91 / $6,318.39	Professional		$2,456.26	$3,558.91	$6,318.39