Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.31 / $2,118.00 / $5,393.00	Facility		$766.31	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.12 / $766.31 / $1,486.74	Professional		$666.12	$766.31	$1,486.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,215.52 / $17,919.09	Facility		$4,295.45	$8,215.52	$17,919.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.19 / $1,282.09 / $1,560.45	Professional		$927.19	$1,282.09	$1,560.45
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 $781.32 / $1,158.88 / $1,614.93	Professional		$781.32	$1,158.88	$1,614.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $886.42 / $1,324.43 / $3,120.33	Professional		$886.42	$1,324.43	$3,120.33
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 $895.78 / $966.38 / $1,076.09	Professional		$895.78	$966.38	$1,076.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,216.82	Professional		$32.34	$32.34	$1,216.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.84 / $1,032.20 / $1,651.44	Professional		$716.84	$1,032.20	$1,651.44