Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,937.99 / $5,549.00	Facility		$1,129.00	$2,937.99	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,577.12 / $1,886.63 / $3,020.58	Professional		$1,577.12	$1,886.63	$3,020.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,349.99 / $17,860.96 / $35,766.57	Facility		$8,349.99	$17,860.96	$35,766.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,897.60 / $2,248.42 / $3,007.32	Professional		$1,897.60	$2,248.42	$3,007.32
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 $1,673.75 / $2,354.17 / $3,657.07	Professional		$1,673.75	$2,354.17	$3,657.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,606.86 / $2,567.48 / $6,156.49	Professional		$1,606.86	$2,567.48	$6,156.49
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 $1,699.52 / $1,963.38 / $2,202.36	Professional		$1,699.52	$1,963.38	$2,202.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,490.36	Professional		$32.34	$32.34	$2,490.36
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 $1,590.11 / $2,384.17 / $3,825.80	Professional		$1,590.11	$2,384.17	$3,825.80