Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,594.37 / $5,430.00	Facility		$1,159.00	$2,594.37	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,251.97 / $1,461.15 / $2,594.37	Professional		$1,251.97	$1,461.15	$2,594.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,347.26 / $16,015.84 / $32,071.71	Facility		$7,347.26	$16,015.84	$32,071.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,541.29	Facility		$400.00	$785.00	$1,541.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.70 / $1,963.47 / $2,953.14	Professional		$1,315.70	$1,963.47	$2,953.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.48 / $2,295.19 / $5,776.00	Professional		$1,482.48	$2,295.19	$5,776.00
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 $1,536.52 / $1,759.58 / $1,978.48	Professional		$1,536.52	$1,759.58	$1,978.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,237.21	Professional		$32.34	$32.34	$2,237.21
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 $1,342.44 / $1,841.84 / $3,224.15	Professional		$1,342.44	$1,841.84	$3,224.15