Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,155.63 / $5,430.00	Facility		$1,159.00	$3,155.63	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.18 / $1,783.10 / $3,155.63	Professional		$1,530.18	$1,783.10	$3,155.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,966.14 / $19,544.72 / $39,138.30	Facility		$8,966.14	$19,544.72	$39,138.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,024.71 / $2,425.75 / $3,028.51	Professional		$2,024.71	$2,425.75	$3,028.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,879.75	Facility		$400.00	$785.00	$1,879.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,570.52 / $2,382.82 / $3,592.72	Professional		$1,570.52	$2,382.82	$3,592.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,765.41 / $2,745.80 / $6,977.92	Professional		$1,765.41	$2,745.80	$6,977.92
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 $1,881.31 / $2,146.12 / $2,412.58	Professional		$1,881.31	$2,146.12	$2,412.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,728.07	Professional		$32.34	$32.34	$2,728.07
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 $1,586.46 / $2,220.06 / $3,823.83	Professional		$1,586.46	$2,220.06	$3,823.83