Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.31 / $1,835.00 / $5,091.00	Facility		$770.31	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.84 / $770.31 / $1,491.50	Professional		$667.84	$770.31	$1,491.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,928.21 / $18,012.38	Facility		$7,070.62	$9,928.21	$18,012.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $910.52 / $1,259.03 / $1,565.43	Professional		$910.52	$1,259.03	$1,565.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $5,676.58 / $6,337.22	Facility		$620.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.03 / $1,099.22 / $1,683.80	Professional		$783.03	$1,099.22	$1,683.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $887.44 / $1,288.25 / $6,492.39	Professional		$887.44	$1,288.25	$6,492.39
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 $940.26 / $969.48 / $1,056.74	Professional		$940.26	$969.48	$1,056.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,194.93	Professional		$32.34	$32.34	$1,194.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.90 / $1,026.58 / $1,811.89	Professional		$751.90	$1,026.58	$1,811.89