Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.02 / $2,025.57 / $5,430.00	Facility		$1,128.02	$2,025.57	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.47 / $1,128.02 / $2,025.57	Professional		$1,015.47	$1,128.02	$2,025.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,672.13 / $12,364.32 / $24,759.55	Facility		$5,672.13	$12,364.32	$24,759.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.58 / $1,527.04 / $1,955.49	Professional		$1,274.58	$1,527.04	$1,955.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,246.67	Facility		$400.00	$785.00	$1,246.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.47 / $1,577.16 / $2,379.32	Professional		$1,076.47	$1,577.16	$2,379.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.86 / $1,812.12 / $5,860.78	Professional		$1,177.86	$1,812.12	$5,860.78
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 $1,293.36 / $1,385.74 / $1,518.75	Professional		$1,293.36	$1,385.74	$1,518.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,717.36	Professional		$32.34	$32.34	$1,717.36
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 $1,088.45 / $1,528.49 / $2,432.21	Professional		$1,088.45	$1,528.49	$2,432.21