Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,881.30 / $2,411.51 / $4,298.38	Professional		$1,881.30	$2,411.51	$4,298.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,372.03 / $30,742.32 / $61,561.49	Facility		$14,372.03	$30,742.32	$61,561.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,030.70 / $3,926.98 / $4,321.10	Professional		$3,030.70	$3,926.98	$4,321.10
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 $2,299.57 / $3,529.17 / $4,830.35	Professional		$2,299.57	$3,529.17	$4,830.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,485.44 / $3,921.30 / $11,731.74	Professional		$2,485.44	$3,921.30	$11,731.74
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 $2,407.02 / $2,937.35 / $3,398.46	Professional		$2,407.02	$2,937.35	$3,398.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,921.30	Professional		$32.34	$32.34	$3,921.30
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 $2,372.01 / $3,447.82 / $5,143.21	Professional		$2,372.01	$3,447.82	$5,143.21