Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,918.43 / $5,430.00	Facility		$1,159.00	$2,918.43	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.54 / $1,625.84 / $2,787.45	Professional		$1,402.54	$1,625.84	$2,787.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,305.90 / $18,105.52 / $36,256.30	Facility		$8,305.90	$18,105.52	$36,256.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.25 / $2,246.69 / $3,868.70	Professional		$1,875.25	$2,246.69	$3,868.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,742.32	Facility		$400.00	$785.00	$1,742.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,402.09 / $2,200.11 / $3,244.67	Professional		$1,402.09	$2,200.11	$3,244.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.55 / $2,541.83 / $5,928.60	Professional		$1,576.55	$2,541.83	$5,928.60
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 $1,746.64 / $1,987.87 / $2,234.48	Professional		$1,746.64	$1,987.87	$2,234.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,526.69	Professional		$32.34	$32.34	$2,526.69
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 $1,466.64 / $1,996.05 / $3,610.33	Professional		$1,466.64	$1,996.05	$3,610.33