Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,073.00 / $7,125.00	Facility		$1,207.00	$3,073.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.48 / $1,684.94 / $2,429.98	Professional		$1,334.48	$1,684.94	$2,429.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $14,511.09 / $31,650.52	Facility		$5,188.88	$14,511.09	$31,650.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.56 / $2,190.46 / $2,389.37	Professional		$1,545.56	$2,190.46	$2,389.37
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 $1,270.90 / $1,730.40 / $2,533.12	Professional		$1,270.90	$1,730.40	$2,533.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.33 / $2,028.16 / $5,374.09	Professional		$1,219.33	$2,028.16	$5,374.09
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 $1,638.07 / $1,644.15 / $1,793.78	Professional		$1,638.07	$1,644.15	$1,793.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,028.35	Professional		$32.34	$32.34	$2,028.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,247.00 / $9,441.00	Facility		$1,600.00	$5,247.00	$9,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.72 / $1,548.89 / $2,634.13	Professional		$1,144.72	$1,548.89	$2,634.13