Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,138.16 / $5,430.00	Facility		$1,159.00	$3,138.16	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.84 / $1,763.47 / $3,138.16	Professional		$1,506.84	$1,763.47	$3,138.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,867.45 / $19,329.59 / $38,707.51	Facility		$8,867.45	$19,329.59	$38,707.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,032.18 / $2,402.69 / $3,038.78	Professional		$2,032.18	$2,402.69	$3,038.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,859.53	Facility		$400.00	$785.00	$1,859.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,594.89 / $2,395.85 / $3,562.57	Professional		$1,594.89	$2,395.85	$3,562.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,798.46 / $2,779.43 / $7,997.11	Professional		$1,798.46	$2,779.43	$7,997.11
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 $1,845.31 / $2,125.44 / $2,389.65	Professional		$1,845.31	$2,125.44	$2,389.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,702.14	Professional		$32.34	$32.34	$2,702.14
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,592.80 / $2,227.26 / $3,828.65	Professional		$1,592.80	$2,227.26	$3,828.65