Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.15 / $1,918.55 / $5,549.00	Facility		$1,082.15	$1,918.55	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.77 / $1,082.15 / $1,918.55	Professional		$845.77	$1,082.15	$1,918.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,449.40 / $13,795.52 / $27,625.52	Facility		$6,449.40	$13,795.52	$27,625.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.23 / $1,764.67 / $1,945.26	Professional		$1,179.23	$1,764.67	$1,945.26
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 $996.95 / $1,585.91 / $2,146.13	Professional		$996.95	$1,585.91	$2,146.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.34 / $1,714.51 / $4,075.18	Professional		$1,102.34	$1,714.51	$4,075.18
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 $1,101.76 / $1,322.32 / $1,527.18	Professional		$1,101.76	$1,322.32	$1,527.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,762.13	Professional		$32.34	$32.34	$1,762.13
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 $1,046.85 / $1,552.27 / $2,695.41	Professional		$1,046.85	$1,552.27	$2,695.41