Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.00 / $5,393.00	Facility		$923.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.93 / $931.35 / $1,693.83	Professional		$768.93	$931.35	$1,693.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $9,984.82 / $21,778.16	Facility		$4,464.57	$9,984.82	$21,778.16
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 $938.24 / $1,342.45 / $1,918.72	Professional		$938.24	$1,342.45	$1,918.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.09 / $1,563.38 / $3,752.37	Professional		$1,063.09	$1,563.38	$3,752.37
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 $1,070.63 / $1,161.36 / $1,292.73	Professional		$1,070.63	$1,161.36	$1,292.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,461.78	Professional		$32.34	$32.34	$1,461.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.24 / $1,247.63 / $2,020.82	Professional		$868.24	$1,247.63	$2,020.82