Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,830.44 / $5,430.00	Facility		$1,159.00	$2,830.44	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.86 / $1,591.54 / $2,830.44	Professional		$1,362.86	$1,591.54	$2,830.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,002.91 / $17,445.04 / $34,933.69	Facility		$8,002.91	$17,445.04	$34,933.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,679.11	Facility		$400.00	$785.00	$1,679.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,440.85 / $2,155.29 / $3,208.48	Professional		$1,440.85	$2,155.29	$3,208.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.15 / $2,506.96 / $6,277.12	Professional		$1,622.15	$2,506.96	$6,277.12
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 $1,671.33 / $1,917.08 / $2,155.28	Professional		$1,671.33	$1,917.08	$2,155.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,437.13	Professional		$32.34	$32.34	$2,437.13
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 $1,445.99 / $1,993.84 / $3,543.78	Professional		$1,445.99	$1,993.84	$3,543.78