Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,715.90 / $5,430.00	Facility		$1,159.00	$2,715.90	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.05 / $1,527.76 / $2,715.90	Professional		$1,306.05	$1,527.76	$2,715.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,682.19 / $16,745.91 / $33,533.69	Facility		$7,682.19	$16,745.91	$33,533.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,612.09	Facility		$400.00	$785.00	$1,612.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.09 / $2,042.73 / $3,102.29	Professional		$1,348.09	$2,042.73	$3,102.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.91 / $2,409.29 / $6,024.68	Professional		$1,547.91	$2,409.29	$6,024.68
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 $1,602.25 / $1,842.40 / $2,071.16	Professional		$1,602.25	$1,842.40	$2,071.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,342.00	Professional		$32.34	$32.34	$2,342.00
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 $1,359.14 / $1,877.97 / $3,278.92	Professional		$1,359.14	$1,877.97	$3,278.92