Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,579.43 / $8,806.00	Facility		$1,272.00	$3,579.43	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.52 / $1,831.39 / $2,651.43	Professional		$1,499.52	$1,831.39	$2,651.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $15,815.89 / $34,496.46	Facility		$5,188.88	$15,815.89	$34,496.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,702.04 / $2,412.25 / $2,637.64	Professional		$1,702.04	$2,412.25	$2,637.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,456.83 / $1,945.00 / $2,887.11	Professional		$1,456.83	$1,945.00	$2,887.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.94 / $2,260.30 / $6,228.97	Professional		$1,345.94	$2,260.30	$6,228.97
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 $1,797.48 / $1,814.98 / $1,975.39	Professional		$1,797.48	$1,814.98	$1,975.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,233.71	Professional		$32.34	$32.34	$2,233.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.92 / $1,769.67 / $3,049.52	Professional		$1,306.92	$1,769.67	$3,049.52