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 $873.69 / $948.05 / $1,851.92	Professional		$873.69	$948.05	$1,851.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,358.00 / $11,169.00 / $24,361.00	Facility		$6,358.00	$11,169.00	$24,361.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.86 / $1,700.00 / $1,776.55	Professional		$1,164.86	$1,700.00	$1,776.55
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 $1,040.69 / $1,403.94 / $2,138.88	Professional		$1,040.69	$1,403.94	$2,138.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.70 / $1,635.34 / $5,335.17	Professional		$1,040.70	$1,635.34	$5,335.17
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 $1,167.70 / $1,229.92 / $1,351.95	Professional		$1,167.70	$1,229.92	$1,351.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,559.94	Professional		$32.34	$32.34	$1,559.94
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 $1,025.73 / $1,476.81 / $2,244.32	Professional		$1,025.73	$1,476.81	$2,244.32