Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.59 / $611.45 / $1,200.20	Professional		$506.59	$611.45	$1,200.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,146.14 / $9,829.73 / $14,297.75	Facility		$6,146.14	$9,829.73	$14,297.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.19 / $1,012.45 / $1,232.38	Professional		$732.19	$1,012.45	$1,232.38
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 $612.60 / $882.47 / $1,271.28	Professional		$612.60	$882.47	$1,271.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $697.77 / $1,027.41 / $2,486.48	Professional		$697.77	$1,027.41	$2,486.48
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 $709.90 / $763.22 / $849.78	Professional		$709.90	$763.22	$849.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $960.91	Professional		$32.34	$32.34	$960.91
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 $561.63 / $771.67 / $1,315.79	Professional		$561.63	$771.67	$1,315.79