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 $1,601.69 / $2,061.84 / $3,665.00	Professional		$1,601.69	$2,061.84	$3,665.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,288.06 / $26,284.64 / $52,634.99	Facility		$12,288.06	$26,284.64	$52,634.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,588.60 / $3,354.13 / $3,692.91	Professional		$2,588.60	$3,354.13	$3,692.91
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 $1,920.28 / $3,014.36 / $4,023.47	Professional		$1,920.28	$3,014.36	$4,023.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.28 / $3,255.74 / $7,605.91	Professional		$2,093.28	$3,255.74	$7,605.91
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 $2,067.16 / $2,510.33 / $2,902.72	Professional		$2,067.16	$2,510.33	$2,902.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,349.29	Professional		$32.34	$32.34	$3,349.29
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 $1,995.09 / $3,103.76 / $4,435.41	Professional		$1,995.09	$3,103.76	$4,435.41