Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.52 / $2,836.00 / $7,125.00	Facility		$1,035.52	$2,836.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.39 / $1,035.52 / $1,829.41	Professional		$875.39	$1,035.52	$1,829.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,598.45 / $6,842.49 / $20,047.64	Facility		$4,598.45	$6,842.49	$20,047.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.37 / $1,200.78 / $1,630.77	Professional		$1,007.37	$1,200.78	$1,630.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $908.00 / $10,962.00	Facility		$400.00	$908.00	$10,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.98 / $1,405.01 / $2,095.30	Professional		$925.98	$1,405.01	$2,095.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.69 / $1,634.62 / $4,129.06	Professional		$1,057.69	$1,634.62	$4,129.06
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 $1,095.34 / $1,250.00 / $1,405.01	Professional		$1,095.34	$1,250.00	$1,405.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,588.75	Professional		$32.34	$32.34	$1,588.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.35 / $1,318.87 / $2,282.21	Professional		$921.35	$1,318.87	$2,282.21