Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,571.30 / $5,430.00	Facility		$1,159.00	$3,571.30	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,700.93 / $1,874.96 / $3,476.56	Professional		$1,700.93	$1,874.96	$3,476.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,289.12 / $20,248.80 / $40,548.22	Facility		$9,289.12	$20,248.80	$40,548.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.52 / $2,503.40 / $3,222.75	Professional		$2,089.52	$2,503.40	$3,222.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,055.25	Facility		$400.00	$785.00	$2,055.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,765.16 / $2,585.57 / $4,011.35	Professional		$1,765.16	$2,585.57	$4,011.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.40 / $2,986.44 / $9,037.02	Professional		$1,932.40	$2,986.44	$9,037.02
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 $2,117.42 / $2,283.75 / $2,489.80	Professional		$2,117.42	$2,283.75	$2,489.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,815.39	Professional		$32.34	$32.34	$2,815.39
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 $1,835.50 / $2,582.81 / $4,285.45	Professional		$1,835.50	$2,582.81	$4,285.45