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 / $6,179.15	Facility		$1,159.00	$3,636.00	$6,179.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,278.62 / $2,778.43 / $4,848.72	Professional		$2,278.62	$2,778.43	$4,848.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,093.03 / $34,423.60 / $68,933.25	Facility		$16,093.03	$34,423.60	$68,933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,692.78 / $4,267.06 / $7,138.27	Professional		$3,692.78	$4,267.06	$7,138.27
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 $2,278.37 / $3,878.13 / $5,809.79	Professional		$2,278.37	$3,878.13	$5,809.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.96 / $4,466.84 / $16,651.62	Professional		$2,843.96	$4,466.84	$16,651.62
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 $3,180.03 / $3,361.05 / $3,692.78	Professional		$3,180.03	$3,361.05	$3,692.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,260.89	Professional		$32.34	$32.34	$4,260.89
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 $2,764.82 / $4,014.41 / $6,897.67	Professional		$2,764.82	$4,014.41	$6,897.67