Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,961.68 / $8,674.31	Facility		$1,159.00	$4,961.68	$8,674.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,865.32 / $4,961.68 / $9,675.29	Professional		$3,865.32	$4,961.68	$9,675.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29,570.53 / $63,252.48 / $126,663.09	Facility		$29,570.53	$63,252.48	$126,663.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,294.06 / $7,161.16 / $8,070.23	Professional		$5,294.06	$7,161.16	$8,070.23
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 $5,043.71 / $7,252.71 / $9,988.76	Professional		$5,043.71	$7,252.71	$9,988.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5,100.93 / $8,058.57 / $17,872.55	Professional		$5,100.93	$8,058.57	$17,872.55
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 $4,880.10 / $6,028.39 / $6,984.09	Professional		$4,880.10	$6,028.39	$6,984.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $8,058.57	Professional		$32.34	$32.34	$8,058.57
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,650.00	Facility		$785.00	$2,800.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,944.25 / $6,803.69 / $11,376.88	Professional		$4,944.25	$6,803.69	$11,376.88