Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,118.00 / $5,393.00	Facility		$711.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $584.46 / $1,138.56	Professional		$481.19	$584.46	$1,138.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,290.98 / $13,666.95	Facility		$3,889.58	$6,290.98	$13,666.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.05 / $963.85 / $1,173.32	Professional		$697.05	$963.85	$1,173.32
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 $561.83 / $835.00 / $1,211.29	Professional		$561.83	$835.00	$1,211.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $653.41 / $978.16 / $2,868.60	Professional		$653.41	$978.16	$2,868.60
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 $678.29 / $726.64 / $808.99	Professional		$678.29	$726.64	$808.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $914.78	Professional		$32.34	$32.34	$914.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,435.00 / $4,780.00	Facility		$1,183.00	$2,435.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.02 / $733.06 / $1,249.82	Professional		$536.02	$733.06	$1,249.82