Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,601.40 / $5,430.00	Facility		$1,159.00	$3,601.40	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.44 / $1,897.77 / $3,599.54	Professional		$1,728.44	$1,897.77	$3,599.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,542.73 / $20,801.59 / $41,655.19	Facility		$9,542.73	$20,801.59	$41,655.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,142.19 / $2,566.51 / $3,301.71	Professional		$2,142.19	$2,566.51	$3,301.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,108.35	Facility		$400.00	$785.00	$2,108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.08 / $2,650.75 / $4,158.39	Professional		$1,813.08	$2,650.75	$4,158.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,979.75 / $3,059.61 / $9,214.10	Professional		$1,979.75	$3,059.61	$9,214.10
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 $2,175.59 / $2,339.69 / $2,552.58	Professional		$2,175.59	$2,339.69	$2,552.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,886.37	Professional		$32.34	$32.34	$2,886.37
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 $1,858.60 / $2,642.31 / $4,263.41	Professional		$1,858.60	$2,642.31	$4,263.41