Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.34 / $2,292.00 / $5,430.00	Facility		$873.34	$2,292.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.06 / $824.87 / $1,355.46	Professional		$725.06	$824.87	$1,355.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,683.22 / $8,226.95 / $17,944.02	Facility		$4,683.22	$8,226.95	$17,944.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.33 / $1,155.71 / $1,765.72	Professional		$783.33	$1,155.71	$1,765.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $372.59 / $611.03 / $1,782.15	Professional		$372.59	$611.03	$1,782.15
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 $438.35 / $467.65 / $512.47	Professional		$438.35	$467.65	$512.47
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 $2,155.00 / $4,413.00 / $8,566.00	Facility		$2,155.00	$4,413.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.64 / $1,157.22 / $2,050.87	Professional		$773.64	$1,157.22	$2,050.87