Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.64 / $3,130.00 / $7,853.50	Facility		$1,104.64	$3,130.00	$7,853.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.15 / $1,045.32 / $1,738.68	Professional		$750.15	$1,045.32	$1,738.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,210.13 / $10,406.42 / $22,697.71	Facility		$3,210.13	$10,406.42	$22,697.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.05 / $1,560.48 / $1,698.49	Professional		$1,101.05	$1,560.48	$1,698.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.79 / $1,258.72 / $1,826.02	Professional		$906.79	$1,258.72	$1,826.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $866.04 / $1,438.46 / $3,631.81	Professional		$866.04	$1,438.46	$3,631.81
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 $1,165.55 / $1,168.75 / $1,277.86	Professional		$1,165.55	$1,168.75	$1,277.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,444.98	Professional		$32.34	$32.34	$1,444.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.29 / $1,130.76 / $1,861.79	Professional		$834.29	$1,130.76	$1,861.79