Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.37 / $2,118.00 / $5,393.00	Facility		$758.37	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.97 / $758.37 / $1,378.96	Professional		$626.97	$758.37	$1,378.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,623.06 / $10,202.07 / $17,733.50	Facility		$7,623.06	$10,202.07	$17,733.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.02 / $1,092.13 / $1,566.73	Professional		$748.02	$1,092.13	$1,566.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.89 / $1,245.03 / $3,080.49	Professional		$851.89	$1,245.03	$3,080.49
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 $874.90 / $946.52 / $1,053.72	Professional		$874.90	$946.52	$1,053.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,191.51	Professional		$32.34	$32.34	$1,191.51
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 $700.32 / $925.89 / $1,642.62	Professional		$700.32	$925.89	$1,642.62