Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,836.00 / $7,123.00	Facility		$1,159.00	$2,836.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,064.41 / $1,220.36 / $2,233.98	Professional		$1,064.41	$1,220.36	$2,233.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,535.22 / $12,295.85 / $28,603.82	Facility		$6,535.22	$12,295.85	$28,603.82
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 $1,263.18 / $1,774.56 / $2,566.21	Professional		$1,263.18	$1,774.56	$2,566.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,313.76 / $2,090.08 / $5,343.19	Professional		$1,313.76	$2,090.08	$5,343.19
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 $1,414.79 / $1,552.63 / $1,708.84	Professional		$1,414.79	$1,552.63	$1,708.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,971.74	Professional		$32.34	$32.34	$1,971.74
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 $1,284.79 / $1,807.85 / $3,120.37	Professional		$1,284.79	$1,807.85	$3,120.37