Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,389.23 / $5,430.00	Facility		$1,017.00	$2,389.23	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.24 / $1,246.46 / $2,381.09	Professional		$1,038.24	$1,246.46	$2,381.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,428.64 / $15,890.16 / $31,820.04	Facility		$7,428.64	$15,890.16	$31,820.04
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 $1,130.58 / $1,794.14 / $2,525.09	Professional		$1,130.58	$1,794.14	$2,525.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.70 / $2,041.60 / $5,423.44	Professional		$1,318.70	$2,041.60	$5,423.44
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 $1,455.62 / $1,558.47 / $1,727.70	Professional		$1,455.62	$1,558.47	$1,727.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,953.63	Professional		$32.34	$32.34	$1,953.63
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 $1,171.26 / $1,639.81 / $2,987.83	Professional		$1,171.26	$1,639.81	$2,987.83