Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,222.54 / $5,430.00	Facility		$1,159.00	$2,222.54	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,253.63 / $2,222.54	Professional		$1,076.40	$1,253.63	$2,222.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,303.73 / $13,741.12 / $27,516.59	Facility		$6,303.73	$13,741.12	$27,516.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,426.77 / $1,709.38 / $2,133.48	Professional		$1,426.77	$1,709.38	$2,133.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,323.47	Facility		$400.00	$785.00	$1,323.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.65 / $1,678.66 / $2,534.06	Professional		$1,032.65	$1,678.66	$2,534.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.30 / $1,918.90 / $4,926.37	Professional		$1,172.30	$1,918.90	$4,926.37
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 $1,325.21 / $1,511.86 / $1,700.10	Professional		$1,325.21	$1,511.86	$1,700.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,922.42	Professional		$32.34	$32.34	$1,922.42
United Facility/Professional Facility Modifier Low / Median / High Price $815.00 / $2,588.00 / $4,780.00	Facility		$815.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.59 / $1,581.59 / $2,688.97	Professional		$1,114.59	$1,581.59	$2,688.97