Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $19,376.09 / $19,376.09	Facility		$130.19	$19,376.09	$19,376.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.21 / $2,321.98 / $2,637.93	Professional		$933.21	$2,321.98	$2,637.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.09 / $8,631.14 / $22,569.70	Facility		$1,755.09	$8,631.14	$22,569.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.55 / $1,135.15 / $1,313.72	Professional		$1,010.55	$1,135.15	$1,313.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.19 / $2,471.28 / $9,596.27	Facility		$1,500.19	$2,471.28	$9,596.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $978.31 / $978.31 / $1,664.50	Professional		$978.31	$978.31	$1,664.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,546.14 / $8,360.29	Professional		$966.65	$1,546.14	$8,360.29
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 $1,135.15 / $1,196.81 / $1,313.72	Professional		$1,135.15	$1,196.81	$1,313.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,912.21 / $2,991.65 / $4,448.67	Facility		$1,912.21	$2,991.65	$4,448.67
United Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,283.84 / $1,868.18	Professional		$975.00	$1,283.84	$1,868.18