Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.04 / $3,073.00 / $8,783.00	Facility		$1,239.04	$3,073.00	$8,783.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.94 / $1,239.04 / $2,313.76	Professional		$1,080.94	$1,239.04	$2,313.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,579.55 / $16,212.96 / $32,466.45	Facility		$7,579.55	$16,212.96	$32,466.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,519.97 / $2,081.33 / $2,413.82	Professional		$1,519.97	$2,081.33	$2,413.82
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 $1,290.10 / $1,805.11 / $2,606.53	Professional		$1,290.10	$1,805.11	$2,606.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.34 / $2,112.63 / $5,062.82	Professional		$1,336.34	$2,112.63	$5,062.82
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 $1,439.79 / $1,579.31 / $1,738.26	Professional		$1,439.79	$1,579.31	$1,738.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,005.68	Professional		$32.34	$32.34	$2,005.68
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 $1,317.67 / $1,737.35 / $2,820.67	Professional		$1,317.67	$1,737.35	$2,820.67