Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,199.21 / $5,430.00	Facility		$1,159.00	$2,199.21	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.00 / $1,237.58 / $2,199.21	Professional		$1,063.00	$1,237.58	$2,199.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,223.07 / $13,565.28 / $27,164.47	Facility		$6,223.07	$13,565.28	$27,164.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,306.61	Facility		$400.00	$785.00	$1,306.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.68 / $1,655.47 / $2,492.05	Professional		$1,053.68	$1,655.47	$2,492.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,208.83 / $1,904.90 / $4,930.14	Professional		$1,208.83	$1,904.90	$4,930.14
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 $1,308.16 / $1,490.02 / $1,675.08	Professional		$1,308.16	$1,490.02	$1,675.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,894.12	Professional		$32.34	$32.34	$1,894.12
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 $1,111.05 / $1,546.22 / $2,710.45	Professional		$1,111.05	$1,546.22	$2,710.45