Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,570.38 / $5,549.00	Facility		$1,129.00	$2,570.38	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.15 / $1,651.01 / $2,570.38	Professional		$1,380.15	$1,651.01	$2,570.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,307.17 / $15,630.32 / $31,299.71	Facility		$7,307.17	$15,630.32	$31,299.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,662.64 / $1,970.03 / $2,634.96	Professional		$1,662.64	$1,970.03	$2,634.96
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 $1,455.47 / $2,078.10 / $3,239.02	Professional		$1,455.47	$2,078.10	$3,239.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.43 / $2,249.36 / $8,875.20	Professional		$1,409.43	$2,249.36	$8,875.20
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 $1,493.15 / $1,720.10 / $1,929.67	Professional		$1,493.15	$1,720.10	$1,929.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,182.01	Professional		$32.34	$32.34	$2,182.01
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,438.69 / $2,024.46 / $3,561.81	Professional		$1,438.69	$2,024.46	$3,561.81