Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,547.56 / $5,430.00	Facility		$1,159.00	$2,547.56	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.00 / $1,425.00 / $2,547.56	Professional		$1,219.00	$1,425.00	$2,547.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,210.66 / $15,718.08 / $31,475.45	Facility		$7,210.66	$15,718.08	$31,475.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.17 / $1,953.38 / $2,470.48	Professional		$1,473.17	$1,953.38	$2,470.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,513.73	Facility		$400.00	$785.00	$1,513.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.16 / $1,915.96 / $2,900.47	Professional		$1,264.16	$1,915.96	$2,900.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.92 / $2,222.98 / $5,674.27	Professional		$1,414.92	$2,222.98	$5,674.27
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 $1,509.91 / $1,727.97 / $1,942.79	Professional		$1,509.91	$1,727.97	$1,942.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,196.84	Professional		$32.34	$32.34	$2,196.84
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 $1,289.77 / $1,746.59 / $3,090.17	Professional		$1,289.77	$1,746.59	$3,090.17