Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,647.68 / $5,430.00	Facility		$1,159.00	$2,647.68	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,273.58 / $1,489.43 / $2,647.68	Professional		$1,273.58	$1,489.43	$2,647.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,489.47 / $16,325.84 / $32,692.49	Facility		$7,489.47	$16,325.84	$32,692.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,572.50	Facility		$400.00	$785.00	$1,572.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.62 / $2,020.97 / $3,003.17	Professional		$1,340.62	$2,020.97	$3,003.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,512.25 / $2,350.62 / $5,877.73	Professional		$1,512.25	$2,350.62	$5,877.73
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 $1,563.00 / $1,797.54 / $2,020.97	Professional		$1,563.00	$1,797.54	$2,020.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,285.25	Professional		$32.34	$32.34	$2,285.25
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 $1,346.65 / $1,886.71 / $3,279.83	Professional		$1,346.65	$1,886.71	$3,279.83