Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,407.00	Facility		$1,017.00	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,567.99 / $11,910.16 / $23,850.09	Facility		$5,567.99	$11,910.16	$23,850.09
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 $350.00 / $511.21 / $2,084.12	Professional		$350.00	$511.21	$2,084.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.18 / $1,553.23 / $2,225.02	Professional		$1,015.18	$1,553.23	$2,225.02
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 $1,236.99 / $1,319.73 / $1,446.26	Professional		$1,236.99	$1,319.73	$1,446.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,271.36 / $1,306.65 / $2,500.00	Professional		$1,271.36	$1,306.65	$2,500.00
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