Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,432.80 / $5,549.00	Facility		$1,129.00	$2,432.80	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,297.30 / $1,545.52 / $2,432.80	Professional		$1,297.30	$1,545.52	$2,432.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,840.31 / $14,631.68 / $29,299.93	Facility		$6,840.31	$14,631.68	$29,299.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,535.61 / $1,837.70 / $2,147.27	Professional		$1,535.61	$1,837.70	$2,147.27
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 $1,375.50 / $1,913.75 / $2,899.43	Professional		$1,375.50	$1,913.75	$2,899.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,316.99 / $2,044.66 / $5,103.29	Professional		$1,316.99	$2,044.66	$5,103.29
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 $1,406.05 / $1,610.95 / $1,800.05	Professional		$1,406.05	$1,610.95	$1,800.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,035.44	Professional		$32.34	$32.34	$2,035.44
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 $1,315.11 / $1,861.12 / $3,164.15	Professional		$1,315.11	$1,861.12	$3,164.15