Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,908.49 / $5,549.00	Facility		$1,129.00	$1,908.49	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.20 / $1,216.56 / $1,908.49	Professional		$1,021.20	$1,216.56	$1,908.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,384.32 / $11,517.28 / $23,063.35	Facility		$5,384.32	$11,517.28	$23,063.35
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 $1,083.52 / $1,519.19 / $2,334.85	Professional		$1,083.52	$1,519.19	$2,334.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.73 / $1,610.63 / $4,078.08	Professional		$1,039.73	$1,610.63	$4,078.08
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 $1,114.39 / $1,268.98 / $1,417.79	Professional		$1,114.39	$1,268.98	$1,417.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,603.20	Professional		$32.34	$32.34	$1,603.20
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 $1,034.33 / $1,409.64 / $2,488.60	Professional		$1,034.33	$1,409.64	$2,488.60