Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,021.68 / $5,549.00	Facility		$1,159.00	$3,021.68	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.60 / $1,701.23 / $3,021.68	Professional		$1,530.60	$1,701.23	$3,021.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,442.49 / $26,614.96 / $53,296.45	Facility		$12,442.49	$26,614.96	$53,296.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,554.90 / $2,364.82 / $3,160.92	Professional		$1,554.90	$2,364.82	$3,160.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.35 / $2,700.79 / $6,975.93	Professional		$1,737.35	$2,700.79	$6,975.93
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 $1,784.46 / $2,053.23 / $2,308.54	Professional		$1,784.46	$2,053.23	$2,308.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,663.70	Professional		$32.34	$32.34	$2,663.70
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,570.27 / $2,118.87 / $3,726.00	Professional		$1,570.27	$2,118.87	$3,726.00