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 $1,847.18 / $2,368.82 / $4,213.22	Professional		$1,847.18	$2,368.82	$4,213.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,117.63 / $30,198.16 / $60,471.81	Facility		$14,117.63	$30,198.16	$60,471.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,977.23 / $3,857.70 / $4,242.96	Professional		$2,977.23	$3,857.70	$4,242.96
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 $1,977.57 / $3,466.91 / $4,571.18	Professional		$1,977.57	$3,466.91	$4,571.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.71 / $3,660.76 / $8,108.76	Professional		$2,326.71	$3,660.76	$8,108.76
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 $2,355.55 / $2,884.23 / $3,338.50	Professional		$2,355.55	$2,884.23	$3,338.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,852.12	Professional		$32.34	$32.34	$3,852.12
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 $2,122.90 / $3,278.53 / $5,148.02	Professional		$2,122.90	$3,278.53	$5,148.02