Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,673.98 / $5,549.00	Facility		$1,159.00	$2,673.98	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.82 / $1,514.77 / $2,673.98	Professional		$1,412.82	$1,514.77	$2,673.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,078.77 / $23,697.92 / $47,455.08	Facility		$11,078.77	$23,697.92	$47,455.08
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 $1,369.15 / $2,133.50 / $2,958.84	Professional		$1,369.15	$2,133.50	$2,958.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.52 / $2,404.14 / $5,471.00	Professional		$1,546.52	$2,404.14	$5,471.00
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 $1,600.63 / $1,827.71 / $2,054.48	Professional		$1,600.63	$1,827.71	$2,054.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,370.56	Professional		$32.34	$32.34	$2,370.56
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 $1,425.49 / $2,039.14 / $3,300.09	Professional		$1,425.49	$2,039.14	$3,300.09