Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.27 / $2,836.00 / $7,000.00	Facility		$871.27	$2,836.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.77 / $871.27 / $1,580.92	Professional		$719.77	$871.27	$1,580.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,288.45 / $20,373.24	Facility		$8,538.45	$11,288.45	$20,373.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.57 / $1,440.25 / $1,753.77	Professional		$1,041.57	$1,440.25	$1,753.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $9,700.62 / $10,829.59	Facility		$996.00	$9,700.62	$10,829.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.68 / $1,255.33 / $1,796.81	Professional		$867.68	$1,255.33	$1,796.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,452.38 / $3,513.32	Professional		$988.28	$1,452.38	$3,513.32
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 $1,002.99 / $1,086.10 / $1,208.83	Professional		$1,002.99	$1,086.10	$1,208.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,366.92	Professional		$32.34	$32.34	$1,366.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.09 / $1,094.69 / $1,887.18	Professional		$802.09	$1,094.69	$1,887.18