Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.30 / $1,798.04 / $5,430.00	Facility		$757.30	$1,798.04	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.63 / $757.30 / $1,383.72	Professional		$625.63	$757.30	$1,383.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,621.70 / $9,886.00 / $19,796.71	Facility		$4,621.70	$9,886.00	$19,796.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $938.61 / $1,297.88 / $1,579.22	Professional		$938.61	$1,297.88	$1,579.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.77 / $1,128.47 / $1,591.50	Professional		$758.77	$1,128.47	$1,591.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $879.86 / $1,286.47 / $3,073.25	Professional		$879.86	$1,286.47	$3,073.25
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 $906.41 / $978.02 / $1,089.34	Professional		$906.41	$978.02	$1,089.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,231.80	Professional		$32.34	$32.34	$1,231.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.46 / $953.59 / $1,639.11	Professional		$701.46	$953.59	$1,639.11