Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $6,661.00	Facility		$825.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.96 / $805.45 / $1,467.04	Professional		$665.96	$805.45	$1,467.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,635.08 / $18,834.20	Facility		$4,295.45	$8,635.08	$18,834.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $967.00 / $1,337.13 / $1,627.61	Professional		$967.00	$1,337.13	$1,627.61
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 $782.13 / $1,142.55 / $1,666.05	Professional		$782.13	$1,142.55	$1,666.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $906.48 / $1,325.88 / $3,268.83	Professional		$906.48	$1,325.88	$3,268.83
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 $930.36 / $1,007.98 / $1,122.30	Professional		$930.36	$1,007.98	$1,122.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,269.07	Professional		$32.34	$32.34	$1,269.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,951.00 / $12,241.00	Facility		$2,100.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.04 / $1,019.48 / $1,749.25	Professional		$752.04	$1,019.48	$1,749.25