Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,200.00 / $5,580.24	Facility		$1,159.00	$4,200.00	$5,580.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,346.46 / $2,726.61 / $4,911.79	Professional		$2,346.46	$2,726.61	$4,911.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,710.49 / $29,886.64 / $59,847.99	Facility		$13,710.49	$29,886.64	$59,847.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,146.09 / $3,758.60 / $4,600.84	Professional		$3,146.09	$3,758.60	$4,600.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,910.22	Facility		$400.00	$785.00	$2,910.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,507.87 / $3,738.19 / $5,610.75	Professional		$2,507.87	$3,738.19	$5,610.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,817.61 / $4,354.47 / $10,649.63	Professional		$2,817.61	$4,354.47	$10,649.63
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 $2,887.22 / $3,329.90 / $3,738.19	Professional		$2,887.22	$3,329.90	$3,738.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,227.03	Professional		$32.34	$32.34	$4,227.03
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 $2,549.78 / $3,489.17 / $6,026.95	Professional		$2,549.78	$3,489.17	$6,026.95