Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.71 / $1,630.00 / $5,091.00	Facility		$685.71	$1,630.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.49 / $624.71 / $1,274.95	Professional		$551.49	$624.71	$1,274.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $6,085.85 / $13,274.02	Facility		$2,517.01	$6,085.85	$13,274.02
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 $634.48 / $910.84 / $1,354.75	Professional		$634.48	$910.84	$1,354.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $690.16 / $1,118.26 / $2,750.78	Professional		$690.16	$1,118.26	$2,750.78
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 $733.56 / $824.72 / $1,008.24	Professional		$733.56	$824.72	$1,008.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,163.35	Professional		$32.34	$32.34	$1,163.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $2,465.00 / $4,780.00	Facility		$1,250.00	$2,465.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.37 / $925.76 / $1,585.90	Professional		$657.37	$925.76	$1,585.90