Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.73 / $1,848.00 / $5,389.00	Facility		$835.73	$1,848.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $827.58 / $1,501.97	Professional		$688.12	$827.58	$1,501.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,400.57 / $10,828.01 / $19,542.25	Facility		$8,400.57	$10,828.01	$19,542.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,002.39 / $1,386.08 / $1,685.79	Professional		$1,002.39	$1,386.08	$1,685.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $6,831.39 / $7,626.43	Facility		$620.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.00 / $1,163.38 / $1,715.46	Professional		$763.00	$1,163.38	$1,715.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $901.25 / $1,369.21 / $3,833.86	Professional		$901.25	$1,369.21	$3,833.86
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 $976.22 / $1,044.00 / $1,163.38	Professional		$976.22	$1,044.00	$1,163.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,315.52	Professional		$32.34	$32.34	$1,315.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.00 / $1,037.84 / $1,793.46	Professional		$761.00	$1,037.84	$1,793.46