Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,352.44 / $5,549.00	Facility		$1,129.00	$2,352.44	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.00 / $1,500.06 / $2,385.38	Professional		$1,254.00	$1,500.06	$2,385.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,639.09 / $14,201.28 / $28,438.06	Facility		$6,639.09	$14,201.28	$28,438.06
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 $1,325.30 / $1,888.05 / $3,052.20	Professional		$1,325.30	$1,888.05	$3,052.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.74 / $2,063.37 / $5,712.11	Professional		$1,261.74	$2,063.37	$5,712.11
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 $1,312.73 / $1,562.16 / $1,753.19	Professional		$1,312.73	$1,562.16	$1,753.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,982.46	Professional		$32.34	$32.34	$1,982.46
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 $1,263.85 / $1,880.33 / $3,040.85	Professional		$1,263.85	$1,880.33	$3,040.85