Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,389.00	Facility		$755.00	$2,118.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.24 / $603.98 / $1,147.06	Professional		$484.24	$603.98	$1,147.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,810.79 / $14,855.19	Facility		$3,889.58	$6,810.79	$14,855.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,053.17 / $1,281.60	Professional		$761.64	$1,053.17	$1,281.60
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 $619.97 / $917.96 / $1,291.94	Professional		$619.97	$917.96	$1,291.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $713.97 / $1,068.45 / $2,580.66	Professional		$713.97	$1,068.45	$2,580.66
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 $738.56 / $793.70 / $883.96	Professional		$738.56	$793.70	$883.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $999.56	Professional		$32.34	$32.34	$999.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,951.00 / $11,479.00	Facility		$2,100.00	$5,951.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.12 / $801.66 / $1,367.50	Professional		$568.12	$801.66	$1,367.50