Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,148.00 / $8,125.00	Facility		$1,017.00	$3,148.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.64 / $831.23 / $1,669.93	Professional		$726.64	$831.23	$1,669.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,293.41 / $8,911.48 / $19,437.06	Facility		$4,293.41	$8,911.48	$19,437.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.11 / $1,346.97 / $1,673.56	Professional		$974.11	$1,346.97	$1,673.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $2,713.32 / $3,029.10	Facility		$1,383.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.16 / $1,174.04 / $1,808.63	Professional		$804.16	$1,174.04	$1,808.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $924.01 / $1,381.57 / $3,661.82	Professional		$924.01	$1,381.57	$3,661.82
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 $1,009.97 / $1,036.44 / $1,130.56	Professional		$1,009.97	$1,036.44	$1,130.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,294.29	Professional		$32.34	$32.34	$1,294.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,715.00 / $6,514.00	Facility		$1,600.00	$3,715.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $818.88 / $1,044.21 / $1,875.90	Professional		$818.88	$1,044.21	$1,875.90