Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $7,407.00	Facility		$1,017.00	$3,636.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,538.94 / $3,346.30 / $5,957.62	Professional		$2,538.94	$3,346.30	$5,957.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,943.16 / $42,659.20 / $85,425.04	Facility		$19,943.16	$42,659.20	$85,425.04
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 $2,985.62 / $4,638.37 / $6,796.11	Professional		$2,985.62	$4,638.37	$6,796.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,453.53 / $5,352.42 / $12,142.39	Professional		$3,453.53	$5,352.42	$12,142.39
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 $3,314.45 / $4,069.09 / $4,710.84	Professional		$3,314.45	$4,069.09	$4,710.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,326.87	Professional		$32.34	$32.34	$5,326.87
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,013.31 / $4,117.54 / $7,271.24	Professional		$3,013.31	$4,117.54	$7,271.24