Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.56 / $1,544.00 / $5,389.00	Facility		$713.56	$1,544.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.40 / $669.15 / $1,192.11	Professional		$581.40	$669.15	$1,192.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,354.78 / $9,315.04 / $18,653.36	Facility		$4,354.78	$9,315.04	$18,653.36
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 $708.09 / $1,021.51 / $1,437.68	Professional		$708.09	$1,021.51	$1,437.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $791.41 / $1,192.11 / $3,384.74	Professional		$791.41	$1,192.11	$3,384.74
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 $790.23 / $885.57 / $983.67	Professional		$790.23	$885.57	$983.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,112.30	Professional		$32.34	$32.34	$1,112.30
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.52 / $869.44 / $1,478.51	Professional		$629.52	$869.44	$1,478.51