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 / $5,697.71	Facility		$1,159.00	$3,636.00	$5,697.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,986.27 / $2,547.01 / $4,707.35	Professional		$1,986.27	$2,547.01	$4,707.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,179.57 / $32,469.68 / $65,020.53	Facility		$15,179.57	$32,469.68	$65,020.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,586.39 / $4,144.14 / $6,932.63	Professional		$3,586.39	$4,144.14	$6,932.63
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 $2,474.67 / $3,724.33 / $5,065.76	Professional		$2,474.67	$3,724.33	$5,065.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,622.38 / $4,138.14 / $11,825.80	Professional		$2,622.38	$4,138.14	$11,825.80
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 $2,535.73 / $3,099.17 / $3,586.39	Professional		$2,535.73	$3,099.17	$3,586.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,138.14	Professional		$32.34	$32.34	$4,138.14
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 $2,416.26 / $3,634.26 / $6,198.72	Professional		$2,416.26	$3,634.26	$6,198.72