Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.78 / $1,903.84 / $5,549.00	Facility		$1,063.78	$1,903.84	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.23 / $1,063.78 / $1,903.84	Professional		$1,048.23	$1,063.78	$1,903.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,780.28 / $16,642.32 / $33,326.24	Facility		$7,780.28	$16,642.32	$33,326.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.02 / $2,042.55 / $2,172.85	Professional		$1,270.02	$2,042.55	$2,172.85
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 $1,095.52 / $1,486.56 / $2,138.03	Professional		$1,095.52	$1,486.56	$2,138.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.54 / $1,700.83 / $3,940.71	Professional		$1,100.54	$1,700.83	$3,940.71
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 $1,186.51 / $1,300.64 / $1,431.51	Professional		$1,186.51	$1,300.64	$1,431.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,651.74	Professional		$32.34	$32.34	$1,651.74
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 $1,100.76 / $1,545.89 / $2,289.87	Professional		$1,100.76	$1,545.89	$2,289.87