Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,511.38	Facility		$1,148.15	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,495.41	Professional		$2,344.23	$2,754.23	$5,495.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $30,199.52 / $57,543.99	Facility		$11,220.18	$30,199.52	$57,543.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $4,570.88	Professional		$3,162.28	$3,801.89	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $5,623.41	Professional		$2,137.96	$3,467.37	$5,623.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $12,022.64	Professional		$2,754.23	$4,897.79	$12,022.64
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 $2,884.03 / $3,311.31 / $3,715.35	Professional		$2,884.03	$3,311.31	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,548.13	Professional		$32.36	$33.11	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $5,370.32	Professional		$2,398.83	$3,235.94	$5,370.32