Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,870.39 / $5,430.00	Facility		$1,159.00	$2,870.39	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.68 / $1,571.53 / $2,870.39	Professional		$1,370.68	$1,571.53	$2,870.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,902.28 / $17,225.68 / $34,494.42	Facility		$7,902.28	$17,225.68	$34,494.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,790.84 / $2,139.48 / $2,620.83	Professional		$1,790.84	$2,139.48	$2,620.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,661.76	Facility		$400.00	$785.00	$1,661.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,242.13 / $2,127.88 / $3,176.10	Professional		$1,242.13	$2,127.88	$3,176.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.08 / $2,426.57 / $6,452.32	Professional		$1,532.08	$2,426.57	$6,452.32
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 $1,634.76 / $1,896.86 / $2,127.88	Professional		$1,634.76	$1,896.86	$2,127.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,406.14	Professional		$32.34	$32.34	$2,406.14
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 $1,420.83 / $1,995.89 / $3,453.18	Professional		$1,420.83	$1,995.89	$3,453.18