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 / $6,299.75	Facility		$1,159.00	$3,636.00	$6,299.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,195.13 / $2,814.27 / $5,029.81	Professional		$2,195.13	$2,814.27	$5,029.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,772.43 / $35,876.87 / $71,843.45	Facility		$16,772.43	$35,876.87	$71,843.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,965.14 / $4,581.80 / $7,664.77	Professional		$3,965.14	$4,581.80	$7,664.77
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 $2,758.44 / $4,117.64 / $5,479.36	Professional		$2,758.44	$4,117.64	$5,479.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,899.47 / $4,666.67 / $10,344.41	Professional		$2,899.47	$4,666.67	$10,344.41
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 $2,803.81 / $3,426.64 / $3,965.14	Professional		$2,803.81	$3,426.64	$3,965.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,575.17	Professional		$32.34	$32.34	$4,575.17
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 $2,685.72 / $4,042.85 / $6,872.84	Professional		$2,685.72	$4,042.85	$6,872.84