Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,393.00	Facility		$711.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.38 / $585.72 / $1,043.28	Professional		$479.38	$585.72	$1,043.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,696.18	Facility		$3,889.58	$6,290.98	$13,696.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.82 / $970.45 / $1,112.24	Professional		$701.82	$970.45	$1,112.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $3,072.73 / $3,430.33	Facility		$709.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.71 / $843.66 / $1,198.55	Professional		$585.71	$843.66	$1,198.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $657.89 / $958.64 / $2,377.82	Professional		$657.89	$958.64	$2,377.82
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 $681.58 / $731.17 / $814.53	Professional		$681.58	$731.17	$814.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $921.04	Professional		$32.34	$32.34	$921.04
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 $539.54 / $731.56 / $1,254.15	Professional		$539.54	$731.56	$1,254.15