Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,630.00 / $8,806.00	Facility		$1,272.00	$3,630.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,565.50 / $1,911.98 / $2,768.54	Professional		$1,565.50	$1,911.98	$2,768.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $16,529.00 / $36,051.83	Facility		$5,188.88	$16,529.00	$36,051.83
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 $1,499.42 / $2,041.79 / $3,014.11	Professional		$1,499.42	$2,041.79	$3,014.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,406.17 / $2,359.73 / $8,216.04	Professional		$1,406.17	$2,359.73	$8,216.04
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 $1,876.32 / $1,895.95 / $2,062.28	Professional		$1,876.32	$1,895.95	$2,062.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,331.96	Professional		$32.34	$32.34	$2,331.96
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 $1,405.31 / $1,851.70 / $3,203.65	Professional		$1,405.31	$1,851.70	$3,203.65