Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.97 / $1,948.07 / $5,549.00	Facility		$1,098.97	$1,948.07	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.93 / $1,098.97 / $2,090.76	Professional		$871.93	$1,098.97	$2,090.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,549.60 / $14,009.84 / $28,054.70	Facility		$6,549.60	$14,009.84	$28,054.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,552.36 / $1,793.77 / $3,000.76	Professional		$1,552.36	$1,793.77	$3,000.76
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 $971.54 / $1,612.06 / $2,167.21	Professional		$971.54	$1,612.06	$2,167.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.54 / $1,707.80 / $6,084.73	Professional		$1,105.54	$1,707.80	$6,084.73
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 $1,130.75 / $1,345.54 / $1,552.36	Professional		$1,130.75	$1,345.54	$1,552.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,791.18	Professional		$32.34	$32.34	$1,791.18
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 $1,040.46 / $1,562.34 / $2,655.98	Professional		$1,040.46	$1,562.34	$2,655.98