Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.74 / $2,235.00 / $5,549.00	Facility		$1,020.74	$2,235.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.97 / $1,020.74 / $1,608.43	Professional		$828.97	$1,020.74	$1,608.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,210.13 / $9,615.98 / $20,973.67	Facility		$3,210.13	$9,615.98	$20,973.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.39 / $1,485.85 / $1,630.86	Professional		$1,048.39	$1,485.85	$1,630.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.15 / $1,263.56 / $1,810.04	Professional		$891.15	$1,263.56	$1,810.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.91 / $1,403.96 / $4,276.32	Professional		$831.91	$1,403.96	$4,276.32
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 $1,099.57 / $1,122.21 / $1,216.76	Professional		$1,099.57	$1,122.21	$1,216.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,272.92	Professional		$32.34	$32.34	$1,272.92
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 $870.08 / $1,172.91 / $2,013.49	Professional		$870.08	$1,172.91	$2,013.49