Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.72 / $2,232.00 / $5,549.00	Facility		$1,052.72	$2,232.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.67 / $1,052.72 / $1,924.32	Professional		$935.67	$1,052.72	$1,924.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,523.21 / $13,765.02 / $24,842.91	Facility		$6,523.21	$13,765.02	$24,842.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.61 / $1,571.87 / $1,946.59	Professional		$1,004.61	$1,571.87	$1,946.59
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 $1,016.75 / $1,373.99 / $2,085.27	Professional		$1,016.75	$1,373.99	$2,085.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.59 / $1,592.93 / $5,635.21	Professional		$1,007.59	$1,592.93	$5,635.21
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 $1,116.83 / $1,190.79 / $1,294.25	Professional		$1,116.83	$1,190.79	$1,294.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,493.37	Professional		$32.34	$32.34	$1,493.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.58 / $1,286.96 / $2,165.84	Professional		$1,005.58	$1,286.96	$2,165.84