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 $2,454.09 / $2,934.99 / $4,596.74	Professional		$2,454.09	$2,934.99	$4,596.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,989.95 / $27,786.00 / $55,641.46	Facility		$12,989.95	$27,786.00	$55,641.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,945.16 / $3,489.65 / $4,667.50	Professional		$2,945.16	$3,489.65	$4,667.50
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 $2,578.44 / $3,669.91 / $5,237.64	Professional		$2,578.44	$3,669.91	$5,237.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,486.96 / $3,867.67 / $20,295.93	Professional		$2,486.96	$3,867.67	$20,295.93
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 $2,601.55 / $3,047.25 / $3,418.16	Professional		$2,601.55	$3,047.25	$3,418.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,865.14	Professional		$32.34	$32.34	$3,865.14
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 $2,476.83 / $3,354.97 / $5,959.25	Professional		$2,476.83	$3,354.97	$5,959.25