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 $1,792.64 / $2,297.88 / $4,181.54	Professional		$1,792.64	$2,297.88	$4,181.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,694.83 / $29,293.76 / $58,660.75	Facility		$13,694.83	$29,293.76	$58,660.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,885.86 / $3,739.31 / $4,115.25	Professional		$2,885.86	$3,739.31	$4,115.25
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 $2,182.71 / $3,360.51 / $4,570.16	Professional		$2,182.71	$3,360.51	$4,570.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.05 / $3,733.91 / $11,684.71	Professional		$2,367.05	$3,733.91	$11,684.71
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 $2,295.57 / $2,797.42 / $3,236.05	Professional		$2,295.57	$2,797.42	$3,236.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,733.91	Professional		$32.34	$32.34	$3,733.91
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,237.38 / $3,420.30 / $4,979.42	Professional		$2,237.38	$3,420.30	$4,979.42