Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,880.00 / $5,393.00	Facility		$1,061.00	$2,880.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.12 / $2,388.65 / $4,273.58	Professional		$1,999.12	$2,388.65	$4,273.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,011.10 / $26,182.24 / $52,429.93	Facility		$12,011.10	$26,182.24	$52,429.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,710.36 / $3,247.20 / $5,590.50	Professional		$2,710.36	$3,247.20	$5,590.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,515.92	Facility		$400.00	$785.00	$2,515.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,096.60 / $3,229.57 / $4,673.33	Professional		$2,096.60	$3,229.57	$4,673.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,430.65 / $3,833.92 / $12,194.03	Professional		$2,430.65	$3,833.92	$12,194.03
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 $2,501.90 / $2,872.58 / $3,229.58	Professional		$2,501.90	$2,872.58	$3,229.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,651.91	Professional		$32.34	$32.34	$3,651.91
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 $2,138.81 / $2,887.10 / $5,159.87	Professional		$2,138.81	$2,887.10	$5,159.87