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 $1,623.87 / $2,080.79 / $3,817.11	Professional		$1,623.87	$2,080.79	$3,817.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,401.01 / $26,526.24 / $53,118.79	Facility		$12,401.01	$26,526.24	$53,118.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,615.14 / $3,388.53 / $3,730.42	Professional		$2,615.14	$3,388.53	$3,730.42
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 $1,922.72 / $3,045.26 / $4,129.74	Professional		$1,922.72	$3,045.26	$4,129.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,145.69 / $3,413.60 / $9,020.37	Professional		$2,145.69	$3,413.60	$9,020.37
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 $2,087.19 / $2,535.82 / $2,932.48	Professional		$2,087.19	$2,535.82	$2,932.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,383.63	Professional		$32.34	$32.34	$3,383.63
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 $1,967.97 / $2,845.22 / $5,058.13	Professional		$1,967.97	$2,845.22	$5,058.13