Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.90 / $2,116.08 / $10,073.00	Facility		$1,156.90	$2,116.08	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,372.19 / $2,282.83	Professional		$1,016.00	$1,372.19	$2,282.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,077.05 / $15,138.08 / $30,314.00	Facility		$7,077.05	$15,138.08	$30,314.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,418.05 / $1,941.76 / $2,251.44	Professional		$1,418.05	$1,941.76	$2,251.44
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 $1,182.56 / $1,684.06 / $2,434.44	Professional		$1,182.56	$1,684.06	$2,434.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.45 / $1,983.00 / $4,329.76	Professional		$1,246.45	$1,983.00	$4,329.76
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 $1,342.76 / $1,473.08 / $1,621.69	Professional		$1,342.76	$1,473.08	$1,621.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,871.18	Professional		$32.34	$32.34	$1,871.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.89 / $1,624.28 / $2,959.47	Professional		$1,211.89	$1,624.28	$2,959.47