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 $507.85 / $612.58 / $1,102.89	Professional		$507.85	$612.58	$1,102.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,567.37 / $14,324.26	Facility		$2,202.15	$6,567.37	$14,324.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.15 / $1,015.16 / $1,235.24	Professional		$734.15	$1,015.16	$1,235.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.78 / $918.75 / $1,311.27	Professional		$621.78	$918.75	$1,311.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $704.37 / $1,059.21 / $2,756.32	Professional		$704.37	$1,059.21	$2,756.32
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 $713.00 / $764.99 / $852.06	Professional		$713.00	$764.99	$852.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $963.48	Professional		$32.34	$32.34	$963.48
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 $555.74 / $802.74 / $1,363.75	Professional		$555.74	$802.74	$1,363.75