Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,108.48 / $5,389.00	Facility		$1,061.00	$2,108.48	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.34 / $1,193.70 / $2,108.48	Professional		$1,013.34	$1,193.70	$2,108.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,002.39 / $13,084.24 / $26,201.19	Facility		$6,002.39	$13,084.24	$26,201.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,259.90	Facility		$400.00	$785.00	$1,259.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.05 / $1,617.99 / $2,389.64	Professional		$1,052.05	$1,617.99	$2,389.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.19 / $1,929.15 / $4,809.91	Professional		$1,221.19	$1,929.15	$4,809.91
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 $1,269.31 / $1,439.32 / $1,617.99	Professional		$1,269.31	$1,439.32	$1,617.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,829.58	Professional		$32.34	$32.34	$1,829.58
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 $1,058.15 / $1,477.82 / $2,644.22	Professional		$1,058.15	$1,477.82	$2,644.22