Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,407.00	Facility		$1,129.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,433.37 / $2,911.13 / $4,587.08	Professional		$2,433.37	$2,911.13	$4,587.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,884.33 / $27,560.08 / $55,189.06	Facility		$12,884.33	$27,560.08	$55,189.06
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 $2,561.87 / $3,560.62 / $6,171.56	Professional		$2,561.87	$3,560.62	$6,171.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,445.42 / $3,998.99 / $9,527.77	Professional		$2,445.42	$3,998.99	$9,527.77
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 $2,534.53 / $3,027.66 / $3,397.84	Professional		$2,534.53	$3,027.66	$3,397.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,842.17	Professional		$32.34	$32.34	$3,842.17
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,569.46 / $3,677.90 / $5,899.34	Professional		$2,569.46	$3,677.90	$5,899.34