Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,836.00 / $7,000.00	Facility		$825.00	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.76 / $730.08 / $1,325.65	Professional		$603.76	$730.08	$1,325.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $7,827.03 / $17,071.75	Facility		$4,295.45	$7,827.03	$17,071.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.82 / $873.82 / $1,470.92	Professional		$873.82	$873.82	$1,470.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $3,072.73 / $3,430.33	Facility		$996.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.37 / $1,053.16 / $1,510.08	Professional		$730.37	$1,053.16	$1,510.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $819.13 / $1,198.23 / $2,962.77	Professional		$819.13	$1,198.23	$2,962.77
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 $843.26 / $910.94 / $1,014.16	Professional		$843.26	$910.94	$1,014.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,146.78	Professional		$32.34	$32.34	$1,146.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,803.00 / $8,821.00	Facility		$1,787.00	$4,803.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.89 / $925.00 / $1,579.33	Professional		$672.89	$925.00	$1,579.33