Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,645.70 / $8,396.87	Facility		$1,159.00	$4,645.70	$8,396.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,012.30 / $4,645.70 / $8,396.87	Professional		$4,012.30	$4,645.70	$8,396.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,360.46 / $50,922.00 / $101,971.30	Facility		$23,360.46	$50,922.00	$101,971.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,286.95 / $6,316.25 / $8,025.52	Professional		$5,286.95	$6,316.25	$8,025.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $4,904.50	Facility		$400.00	$785.00	$4,904.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,510.17 / $6,281.96 / $9,333.99	Professional		$2,510.17	$6,281.96	$9,333.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,092.74 / $7,108.45 / $18,908.59	Professional		$4,092.74	$7,108.45	$18,908.59
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 $4,790.68 / $5,600.60 / $6,281.95	Professional		$4,790.68	$5,600.60	$6,281.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $7,103.44	Professional		$32.34	$32.34	$7,103.44
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,083.82 / $5,864.23 / $10,391.89	Professional		$4,083.82	$5,864.23	$10,391.89