Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.35 / $1,835.00 / $5,091.00	Facility		$647.35	$1,835.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.17 / $647.35 / $1,181.92	Professional		$536.17	$647.35	$1,181.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $6,940.15 / $15,137.35	Facility		$2,202.15	$6,940.15	$15,137.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.39 / $1,074.96 / $1,308.10	Professional		$777.39	$1,074.96	$1,308.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,631.14 / $1,820.98	Facility		$620.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.72 / $902.24 / $1,318.66	Professional		$483.72	$902.24	$1,318.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $662.36 / $1,065.59 / $2,678.45	Professional		$662.36	$1,065.59	$2,678.45
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 $752.95 / $810.11 / $902.24	Professional		$752.95	$810.11	$902.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,020.22	Professional		$32.34	$32.34	$1,020.22
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 $542.75 / $792.05 / $1,401.20	Professional		$542.75	$792.05	$1,401.20