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 $587.92 / $709.36 / $1,283.96	Professional		$587.92	$709.36	$1,283.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,248.13 / $7,604.97 / $16,587.40	Facility		$4,248.13	$7,604.97	$16,587.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.30 / $1,177.15 / $1,431.83	Professional		$851.30	$1,177.15	$1,431.83
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 $700.20 / $1,026.02 / $1,475.31	Professional		$700.20	$1,026.02	$1,475.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $798.01 / $1,166.39 / $3,190.96	Professional		$798.01	$1,166.39	$3,190.96
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 $823.85 / $886.73 / $988.01	Professional		$823.85	$886.73	$988.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,117.21	Professional		$32.34	$32.34	$1,117.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,803.00 / $8,821.00	Facility		$1,787.00	$4,803.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.42 / $890.74 / $1,503.86	Professional		$650.42	$890.74	$1,503.86