Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.42 / $2,836.00 / $7,123.00	Facility		$1,116.42	$2,836.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.36 / $1,116.42 / $2,065.14	Professional		$992.36	$1,116.42	$2,065.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,543.06 / $10,606.55 / $21,613.95	Facility		$4,543.06	$10,606.55	$21,613.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.65 / $1,513.81 / $1,876.79	Professional		$1,149.65	$1,513.81	$1,876.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $1,033.00 / $5,676.58	Facility		$659.00	$1,033.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.56 / $1,540.84 / $2,352.62	Professional		$1,028.56	$1,540.84	$2,352.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.58 / $1,776.30 / $7,094.72	Professional		$1,154.58	$1,776.30	$7,094.72
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 $1,264.41 / $1,358.34 / $1,505.60	Professional		$1,264.41	$1,358.34	$1,505.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,702.48	Professional		$32.34	$32.34	$1,702.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.64 / $1,518.47 / $2,521.81	Professional		$1,080.64	$1,518.47	$2,521.81