Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,696.80 / $5,549.00	Facility		$1,129.00	$2,696.80	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.52 / $1,732.80 / $2,696.80	Professional		$1,448.52	$1,732.80	$2,696.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,669.16 / $16,404.64 / $32,850.29	Facility		$7,669.16	$16,404.64	$32,850.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,742.23 / $2,064.33 / $2,579.92	Professional		$1,742.23	$2,064.33	$2,579.92
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 $1,525.33 / $2,177.58 / $3,346.05	Professional		$1,525.33	$2,177.58	$3,346.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.25 / $2,357.32 / $9,169.12	Professional		$1,475.25	$2,357.32	$9,169.12
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 $1,560.26 / $1,802.66 / $2,022.03	Professional		$1,560.26	$1,802.66	$2,022.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,286.44	Professional		$32.34	$32.34	$2,286.44
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 $1,479.74 / $2,078.39 / $3,514.08	Professional		$1,479.74	$2,078.39	$3,514.08