Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,362.13 / $5,549.00	Facility		$1,017.00	$2,362.13	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.13 / $1,259.83 / $2,362.13	Professional		$1,053.13	$1,259.83	$2,362.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,508.31 / $16,060.56 / $32,161.27	Facility		$7,508.31	$16,060.56	$32,161.27
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 $1,244.63 / $1,836.87 / $2,694.61	Professional		$1,244.63	$1,836.87	$2,694.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.67 / $2,091.84 / $9,634.27	Professional		$1,428.67	$2,091.84	$9,634.27
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 $1,448.07 / $1,590.29 / $1,768.83	Professional		$1,448.07	$1,590.29	$1,768.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,000.14	Professional		$32.34	$32.34	$2,000.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.29 / $1,679.30 / $2,808.96	Professional		$1,196.29	$1,679.30	$2,808.96