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 $2,310.75 / $2,771.21 / $4,251.39	Professional		$2,310.75	$2,771.21	$4,251.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,220.56 / $38,974.48 / $78,046.39	Facility		$18,220.56	$38,974.48	$78,046.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,539.67 / $5,239.34 / $5,239.34	Professional		$2,539.67	$5,239.34	$5,239.34
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 $1,465.53 / $3,357.16 / $4,573.34	Professional		$1,465.53	$3,357.16	$4,573.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,910.64 / $3,488.94 / $11,065.58	Professional		$1,910.64	$3,488.94	$11,065.58
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 $2,483.83 / $2,875.47 / $3,232.81	Professional		$2,483.83	$2,875.47	$3,232.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,655.57	Professional		$32.34	$32.34	$3,655.57
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 $1,767.51 / $3,174.67 / $5,966.54	Professional		$1,767.51	$3,174.67	$5,966.54