Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,515.69 / $5,393.00	Facility		$923.00	$2,515.69	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.58 / $1,345.69 / $2,515.69	Professional		$1,122.58	$1,345.69	$2,515.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,020.01 / $14,088.64 / $30,729.10	Facility		$8,020.01	$14,088.64	$30,729.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.70 / $2,176.06 / $2,491.16	Professional		$1,654.70	$2,176.06	$2,491.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,011.78 / $6,711.43	Facility		$709.00	$6,011.78	$6,711.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.16 / $1,953.94 / $2,857.88	Professional		$1,327.16	$1,953.94	$2,857.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.43 / $2,216.37 / $5,572.99	Professional		$1,448.43	$2,216.37	$5,572.99
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 $1,539.07 / $1,693.41 / $1,883.19	Professional		$1,539.07	$1,693.41	$1,883.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,129.46	Professional		$32.34	$32.34	$2,129.46
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 $1,274.97 / $1,850.81 / $2,993.90	Professional		$1,274.97	$1,850.81	$2,993.90