Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,694.00 / $5,091.00	Facility		$755.00	$1,694.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.91 / $750.76 / $1,466.96	Professional		$640.91	$750.76	$1,466.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,388.71 / $7,098.26 / $15,090.92	Facility		$4,388.71	$7,098.26	$15,090.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.90 / $1,218.64 / $1,484.91	Professional		$897.90	$1,218.64	$1,484.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.57 / $1,061.44 / $1,601.89	Professional		$757.57	$1,061.44	$1,601.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $821.22 / $1,334.39 / $3,298.41	Professional		$821.22	$1,334.39	$3,298.41
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 $900.29 / $949.22 / $1,186.21	Professional		$900.29	$949.22	$1,186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,368.71	Professional		$32.34	$32.34	$1,368.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.12 / $1,122.33 / $1,882.04	Professional		$780.12	$1,122.33	$1,882.04