Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,960.17 / $5,549.00	Facility		$1,129.00	$2,960.17	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,532.88 / $1,833.81 / $2,960.17	Professional		$1,532.88	$1,833.81	$2,960.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,116.21 / $17,360.88 / $34,765.16	Facility		$8,116.21	$17,360.88	$34,765.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,826.75 / $2,186.11 / $2,543.61	Professional		$1,826.75	$2,186.11	$2,543.61
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 $1,629.39 / $2,289.32 / $3,129.63	Professional		$1,629.39	$2,289.32	$3,129.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,541.32 / $2,520.17 / $5,647.38	Professional		$1,541.32	$2,520.17	$5,647.38
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 $1,604.85 / $1,908.30 / $2,141.32	Professional		$1,604.85	$1,908.30	$2,141.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,421.34	Professional		$32.34	$32.34	$2,421.34
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 $1,544.63 / $2,160.98 / $3,716.38	Professional		$1,544.63	$2,160.98	$3,716.38