Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,222.32 / $5,549.00	Facility		$1,129.00	$2,222.32	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.01 / $1,425.86 / $2,222.32	Professional		$1,192.01	$1,425.86	$2,222.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,310.72 / $13,498.88 / $27,031.50	Facility		$6,310.72	$13,498.88	$27,031.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,431.32 / $1,695.94 / $2,268.36	Professional		$1,431.32	$1,695.94	$2,268.36
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 $1,264.63 / $1,822.17 / $2,746.26	Professional		$1,264.63	$1,822.17	$2,746.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.86 / $1,936.81 / $5,792.59	Professional		$1,210.86	$1,936.81	$5,792.59
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 $1,278.82 / $1,481.09 / $1,661.19	Professional		$1,278.82	$1,481.09	$1,661.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,878.42	Professional		$32.34	$32.34	$1,878.42
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 $1,246.32 / $1,786.33 / $2,894.11	Professional		$1,246.32	$1,786.33	$2,894.11