Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.46 / $2,235.00 / $5,549.00	Facility		$1,079.46	$2,235.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.47 / $1,079.46 / $1,878.48	Professional		$928.47	$1,079.46	$1,878.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,494.10 / $10,950.38 / $25,473.86	Facility		$4,494.10	$10,950.38	$25,473.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.78 / $1,806.31 / $1,996.00	Professional		$1,211.78	$1,806.31	$1,996.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.56 / $1,408.87 / $2,008.36	Professional		$1,042.56	$1,408.87	$2,008.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.16 / $1,633.20 / $5,454.58	Professional		$1,033.16	$1,633.20	$5,454.58
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 $1,144.70 / $1,221.01 / $1,326.98	Professional		$1,144.70	$1,221.01	$1,326.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,531.13	Professional		$32.34	$32.34	$1,531.13
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 $1,035.22 / $1,411.43 / $2,615.94	Professional		$1,035.22	$1,411.43	$2,615.94