Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,957.40 / $2,295.94 / $4,097.96	Professional		$1,957.40	$2,295.94	$4,097.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,544.90 / $25,166.00 / $50,394.91	Facility		$11,544.90	$25,166.00	$50,394.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,420.59	Facility		$400.00	$785.00	$2,420.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,663.42 / $3,064.93 / $4,638.62	Professional		$1,663.42	$3,064.93	$4,638.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,129.71 / $3,514.02 / $8,950.36	Professional		$2,129.71	$3,514.02	$8,950.36
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 $2,390.52 / $2,768.62 / $3,112.82	Professional		$2,390.52	$2,768.62	$3,112.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,519.89	Professional		$32.34	$32.34	$3,519.89
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 $2,036.89 / $2,772.08 / $4,889.35	Professional		$2,036.89	$2,772.08	$4,889.35