Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,530.25 / $5,549.00	Facility		$1,129.00	$2,530.25	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.95 / $1,646.78 / $2,530.25	Professional		$1,312.95	$1,646.78	$2,530.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,827.48 / $23,160.40 / $46,378.70	Facility		$10,827.48	$23,160.40	$46,378.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,697.45 / $3,031.01 / $3,114.74	Professional		$1,697.45	$3,031.01	$3,114.74
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 $1,332.37 / $1,995.80 / $2,758.45	Professional		$1,332.37	$1,995.80	$2,758.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,315.13 / $2,169.96 / $4,620.42	Professional		$1,315.13	$2,169.96	$4,620.42
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 $1,481.68 / $1,709.67 / $1,921.88	Professional		$1,481.68	$1,709.67	$1,921.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,173.19	Professional		$32.34	$32.34	$2,173.19
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 $1,371.56 / $1,876.88 / $3,328.24	Professional		$1,371.56	$1,876.88	$3,328.24