Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.01 / $3,289.44 / $10,073.00	Facility		$1,083.01	$3,289.44	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.99 / $1,482.24 / $2,903.62	Professional		$703.99	$1,482.24	$2,903.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,104.42 / $9,379.70 / $19,557.87	Facility		$5,104.42	$9,379.70	$19,557.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.44 / $1,654.87 / $3,405.38	Professional		$843.44	$1,654.87	$3,405.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,923.00	Facility		$1,855.00	$1,855.00	$1,923.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.79 / $1,436.03 / $2,824.29	Professional		$718.79	$1,436.03	$2,824.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $930.12 / $2,073.33 / $5,654.80	Professional		$930.12	$2,073.33	$5,654.80
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 $822.73 / $873.94 / $2,062.67	Professional		$822.73	$873.94	$2,062.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,380.02	Professional		$32.34	$32.34	$2,380.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,725.80 / $2,684.17 / $4,278.89	Professional		$1,725.80	$2,684.17	$4,278.89