Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,095.00 / $5,393.00	Facility		$711.00	$2,095.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.71 / $661.69 / $1,134.86	Professional		$549.71	$661.69	$1,134.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $7,093.82 / $15,472.53	Facility		$2,202.15	$7,093.82	$15,472.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,631.14 / $1,820.98	Facility		$709.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $911.01 / $1,264.44	Professional		$612.11	$911.01	$1,264.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $712.80 / $1,070.92 / $2,084.44	Professional		$712.80	$1,070.92	$2,084.44
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 $768.76 / $817.64 / $911.01	Professional		$768.76	$817.64	$911.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,030.15	Professional		$32.34	$32.34	$1,030.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.97 / $763.60 / $1,362.15	Professional		$553.97	$763.60	$1,362.15