Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,789.05 / $5,549.00	Facility		$1,159.00	$3,789.05	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,062.56 / $2,409.67 / $4,311.77	Professional		$2,062.56	$2,409.67	$4,311.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,116.83 / $26,412.72 / $52,891.47	Facility		$12,116.83	$26,412.72	$52,891.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,733.63 / $3,275.09 / $4,088.86	Professional		$2,733.63	$3,275.09	$4,088.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,540.38	Facility		$400.00	$785.00	$2,540.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.12 / $3,303.27 / $4,891.52	Professional		$2,140.12	$3,303.27	$4,891.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,451.73 / $3,884.90 / $9,348.25	Professional		$2,451.73	$3,884.90	$9,348.25
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 $2,525.19 / $2,897.51 / $3,257.31	Professional		$2,525.19	$2,897.51	$3,257.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,683.26	Professional		$32.34	$32.34	$3,683.26
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 $2,199.07 / $3,017.18 / $5,305.66	Professional		$2,199.07	$3,017.18	$5,305.66