Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,862.09 / $5,888.44	Facility		$724.44	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,096.48	Professional		$398.11	$501.19	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $10,000.00	Facility		$2,089.30	$2,511.89	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,023.29	Professional		$549.54	$758.58	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $954.99	Professional		$436.52	$645.65	$954.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,862.09	Professional		$501.19	$794.33	$1,862.09
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 $549.54 / $575.44 / $707.95	Professional		$549.54	$575.44	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $4,168.69	Facility		$741.31	$1,479.11	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $954.99	Professional		$407.38	$549.54	$954.99