Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.45 / $591.85 / $1,065.33	Professional		$490.45	$591.85	$1,065.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,345.17 / $13,839.62	Facility		$3,889.58	$6,345.17	$13,839.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.73 / $980.01 / $1,192.52	Professional		$708.73	$980.01	$1,192.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.41 / $852.15 / $1,230.28	Professional		$594.41	$852.15	$1,230.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $664.37 / $968.08 / $2,370.58	Professional		$664.37	$968.08	$2,370.58
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 $687.53 / $738.53 / $822.55	Professional		$687.53	$738.53	$822.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $930.11	Professional		$32.34	$32.34	$930.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.23 / $705.97 / $1,269.33	Professional		$537.23	$705.97	$1,269.33