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 $425.39 / $503.07 / $915.26	Professional		$425.39	$503.07	$915.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,146.31 / $9,457.39 / $13,180.78	Facility		$5,146.31	$9,457.39	$13,180.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.78 / $848.71 / $1,032.31	Professional		$613.78	$848.71	$1,032.31
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 $513.58 / $739.75 / $1,070.05	Professional		$513.58	$739.75	$1,070.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $575.36 / $840.94 / $2,079.01	Professional		$575.36	$840.94	$2,079.01
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 $598.87 / $639.30 / $712.35	Professional		$598.87	$639.30	$712.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $805.50	Professional		$32.34	$32.34	$805.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $10,219.00	Facility		$1,600.00	$4,803.00	$10,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.12 / $648.20 / $1,091.19	Professional		$469.12	$648.20	$1,091.19