Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $6,015.98	Facility		$1,129.00	$3,270.00	$6,015.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.10 / $2,123.76 / $3,364.69	Professional		$1,783.10	$2,123.76	$3,364.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,399.51 / $20,105.91 / $40,262.10	Facility		$9,399.51	$20,105.91	$40,262.10
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 $1,871.29 / $2,583.03 / $4,094.76	Professional		$1,871.29	$2,583.03	$4,094.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,800.33 / $2,806.93 / $7,036.48	Professional		$1,800.33	$2,806.93	$7,036.48
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 $1,916.66 / $2,211.52 / $2,470.48	Professional		$1,916.66	$2,211.52	$2,470.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,793.54	Professional		$32.34	$32.34	$2,793.54
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 $1,855.45 / $2,690.21 / $4,354.60	Professional		$1,855.45	$2,690.21	$4,354.60