Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,616.26 / $5,430.00	Facility		$1,159.00	$3,616.26	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,740.17 / $1,911.74 / $3,616.26	Professional		$1,740.17	$1,911.74	$3,616.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,613.01 / $20,954.80 / $41,961.98	Facility		$9,613.01	$20,954.80	$41,961.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,156.46 / $2,583.61 / $3,324.19	Professional		$2,156.46	$2,583.61	$3,324.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,124.06	Facility		$400.00	$785.00	$2,124.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.56 / $2,668.41 / $4,132.64	Professional		$1,826.56	$2,668.41	$4,132.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,993.23 / $3,080.45 / $8,338.09	Professional		$1,993.23	$3,080.45	$8,338.09
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 $2,190.83 / $2,355.64 / $2,569.58	Professional		$2,190.83	$2,355.64	$2,569.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,905.60	Professional		$32.34	$32.34	$2,905.60
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 $1,887.59 / $2,615.96 / $4,419.17	Professional		$1,887.59	$2,615.96	$4,419.17