Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.04 / $2,002.00 / $7,001.00	Facility		$599.04	$2,002.00	$7,001.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.13 / $712.25 / $1,368.15	Professional		$270.13	$712.25	$1,368.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.39 / $5,882.91 / $11,080.90	Facility		$2,629.39	$5,882.91	$11,080.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.99 / $797.94 / $2,143.77	Professional		$369.99	$797.94	$2,143.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $431.65 / $1,196.15 / $3,640.04	Professional		$431.65	$1,196.15	$3,640.04
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 $386.10 / $400.82 / $1,121.77	Professional		$386.10	$400.82	$1,121.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,173.54	Professional		$32.34	$32.34	$1,173.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.55 / $1,555.97 / $2,478.23	Professional		$995.55	$1,555.97	$2,478.23