Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,620.48 / $5,549.00	Facility		$1,159.00	$2,620.48	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.26 / $1,423.47 / $2,620.48	Professional		$1,392.26	$1,423.47	$2,620.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,182.70 / $21,781.20 / $43,616.85	Facility		$10,182.70	$21,781.20	$43,616.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,677.70 / $2,698.22 / $2,909.29	Professional		$1,677.70	$2,698.22	$2,909.29
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 $1,453.01 / $1,977.21 / $2,883.04	Professional		$1,453.01	$1,977.21	$2,883.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.54 / $2,318.46 / $6,543.10	Professional		$1,473.54	$2,318.46	$6,543.10
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 $1,631.27 / $1,741.45 / $1,891.02	Professional		$1,631.27	$1,741.45	$1,891.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,181.94	Professional		$32.34	$32.34	$2,181.94
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 $1,471.59 / $2,082.67 / $3,643.26	Professional		$1,471.59	$2,082.67	$3,643.26