Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,074.09 / $5,549.00	Facility		$1,159.00	$2,074.09	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.54 / $1,222.40 / $2,074.09	Professional		$1,086.54	$1,222.40	$2,074.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,528.88 / $16,104.56 / $32,249.38	Facility		$7,528.88	$16,104.56	$32,249.38
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 $1,139.95 / $1,555.51 / $2,270.39	Professional		$1,139.95	$1,555.51	$2,270.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.00 / $1,814.16 / $4,688.79	Professional		$1,167.00	$1,814.16	$4,688.79
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 $1,292.33 / $1,379.18 / $1,497.90	Professional		$1,292.33	$1,379.18	$1,497.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,728.35	Professional		$32.34	$32.34	$1,728.35
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 $1,155.49 / $1,634.43 / $3,022.38	Professional		$1,155.49	$1,634.43	$3,022.38