Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,758.00 / $5,580.00	Facility		$813.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.89 / $679.30 / $1,254.28	Professional		$566.89	$679.30	$1,254.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,145.71 / $7,282.71 / $15,884.51	Facility		$4,145.71	$7,282.71	$15,884.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.51 / $1,126.28 / $1,376.34	Professional		$814.51	$1,126.28	$1,376.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.89 / $1,018.49 / $1,428.81	Professional		$691.89	$1,018.49	$1,428.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $786.80 / $1,180.21 / $2,805.22	Professional		$786.80	$1,180.21	$2,805.22
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 $798.77 / $852.37 / $945.32	Professional		$798.77	$852.37	$945.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,068.94	Professional		$32.34	$32.34	$1,068.94
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 $633.27 / $938.36 / $1,527.96	Professional		$633.27	$938.36	$1,527.96