Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,439.57 / $5,549.00	Facility		$1,159.00	$2,439.57	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.65 / $1,331.72 / $2,439.57	Professional		$1,296.65	$1,331.72	$2,439.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,483.51 / $20,285.59 / $40,621.91	Facility		$9,483.51	$20,285.59	$40,621.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,562.91 / $2,513.59 / $2,709.80	Professional		$1,562.91	$2,513.59	$2,709.80
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 $1,338.33 / $1,841.17 / $2,634.27	Professional		$1,338.33	$1,841.17	$2,634.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.49 / $2,133.60 / $5,298.95	Professional		$1,372.49	$2,133.60	$5,298.95
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 $1,518.47 / $1,622.04 / $1,761.63	Professional		$1,518.47	$1,622.04	$1,761.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,032.65	Professional		$32.34	$32.34	$2,032.65
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 $1,380.37 / $1,966.38 / $2,919.39	Professional		$1,380.37	$1,966.38	$2,919.39