Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,221.00 / $8,806.00	Facility		$1,017.00	$3,221.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.63 / $1,036.83 / $2,014.68	Professional		$973.63	$1,036.83	$2,014.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,507.74 / $11,432.06 / $24,934.77	Facility		$6,507.74	$11,432.06	$24,934.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.67 / $1,742.88 / $2,661.37	Professional		$1,300.67	$1,742.88	$2,661.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $4,720.00 / $5,249.00	Facility		$1,383.00	$4,720.00	$5,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.16 / $1,567.61 / $2,357.59	Professional		$1,151.16	$1,567.61	$2,357.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.75 / $1,825.99 / $4,648.81	Professional		$1,159.75	$1,825.99	$4,648.81
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 $1,311.92 / $1,370.62 / $1,509.56	Professional		$1,311.92	$1,370.62	$1,509.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,741.80	Professional		$32.34	$32.34	$1,741.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.90 / $1,609.98 / $2,417.81	Professional		$1,121.90	$1,609.98	$2,417.81