Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.18 / $2,118.00 / $5,393.00	Facility		$819.18	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.44 / $817.48 / $1,504.96	Professional		$706.44	$817.48	$1,504.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,782.31 / $19,155.34	Facility		$4,295.45	$8,782.31	$19,155.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.48 / $1,355.78 / $1,650.87	Professional		$980.48	$1,355.78	$1,650.87
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 $588.97 / $1,137.95 / $1,671.52	Professional		$588.97	$1,137.95	$1,671.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $833.73 / $1,344.83 / $3,404.66	Professional		$833.73	$1,344.83	$3,404.66
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 $942.47 / $1,022.39 / $1,137.94	Professional		$942.47	$1,022.39	$1,137.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,286.75	Professional		$32.34	$32.34	$1,286.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.97 / $957.48 / $1,788.61	Professional		$659.97	$957.48	$1,788.61