Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,371.02 / $5,549.00	Facility		$1,129.00	$2,371.02	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.30 / $1,516.19 / $2,428.62	Professional		$1,267.30	$1,516.19	$2,428.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,710.49 / $14,354.00 / $28,743.88	Facility		$6,710.49	$14,354.00	$28,743.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,511.38 / $1,808.70 / $2,104.16	Professional		$1,511.38	$1,808.70	$2,104.16
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 $1,335.74 / $1,846.09 / $3,091.06	Professional		$1,335.74	$1,846.09	$3,091.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.39 / $2,003.61 / $6,135.49	Professional		$1,292.39	$2,003.61	$6,135.49
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 $1,329.45 / $1,578.60 / $1,771.65	Professional		$1,329.45	$1,578.60	$1,771.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,003.33	Professional		$32.34	$32.34	$2,003.33
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 $1,275.41 / $1,914.04 / $3,068.64	Professional		$1,275.41	$1,914.04	$3,068.64