Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.34 / $2,758.00 / $5,580.00	Facility		$1,078.34	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.88 / $1,078.34 / $2,029.49	Professional		$931.88	$1,078.34	$2,029.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,677.08 / $11,977.03 / $24,624.24	Facility		$7,677.08	$11,977.03	$24,624.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,303.84 / $1,714.67 / $1,988.14	Professional		$1,303.84	$1,714.67	$1,988.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $7,619.73 / $8,506.52	Facility		$875.00	$7,619.73	$8,506.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.57 / $1,540.97 / $2,302.86	Professional		$1,091.57	$1,540.97	$2,302.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.53 / $1,796.04 / $5,313.53	Professional		$1,198.53	$1,796.04	$5,313.53
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 $1,276.16 / $1,351.47 / $1,483.90	Professional		$1,276.16	$1,351.47	$1,483.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,677.95	Professional		$32.34	$32.34	$1,677.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.46 / $1,533.20 / $2,423.46	Professional		$1,040.46	$1,533.20	$2,423.46