Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,346.04 / $5,549.00	Facility		$1,159.00	$2,346.04	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.83 / $1,384.30 / $2,346.04	Professional		$1,230.83	$1,384.30	$2,346.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,526.04 / $18,237.52 / $36,520.62	Facility		$8,526.04	$18,237.52	$36,520.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,556.94 / $2,556.94 / $2,556.94	Professional		$2,556.94	$2,556.94	$2,556.94
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 $1,335.55 / $1,804.80 / $2,574.16	Professional		$1,335.55	$1,804.80	$2,574.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.52 / $2,057.46 / $6,694.51	Professional		$1,323.52	$2,057.46	$6,694.51
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 $1,464.32 / $1,564.16 / $1,699.13	Professional		$1,464.32	$1,564.16	$1,699.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,960.53	Professional		$32.34	$32.34	$1,960.53
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 $1,304.83 / $1,925.83 / $2,790.56	Professional		$1,304.83	$1,925.83	$2,790.56