Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,588.79 / $5,549.00	Facility		$1,129.00	$2,588.79	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,384.26 / $1,656.65 / $2,649.88	Professional		$1,384.26	$1,656.65	$2,649.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,332.12 / $15,683.68 / $31,406.56	Facility		$7,332.12	$15,683.68	$31,406.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,649.26 / $1,973.71 / $2,468.67	Professional		$1,649.26	$1,973.71	$2,468.67
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 $1,457.44 / $2,018.49 / $3,450.54	Professional		$1,457.44	$2,018.49	$3,450.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,410.76 / $2,186.15 / $6,121.50	Professional		$1,410.76	$2,186.15	$6,121.50
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 $1,447.73 / $1,722.42 / $1,933.27	Professional		$1,447.73	$1,722.42	$1,933.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,186.08	Professional		$32.34	$32.34	$2,186.08
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 $1,461.69 / $2,063.56 / $3,721.50	Professional		$1,461.69	$2,063.56	$3,721.50