Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.02 / $2,118.00 / $5,393.00	Facility		$895.02	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.18 / $895.02 / $1,537.73	Professional		$764.18	$895.02	$1,537.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,337.62 / $9,595.35 / $20,928.66	Facility		$4,337.62	$9,595.35	$20,928.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.06 / $1,442.31 / $1,752.22	Professional		$1,043.06	$1,442.31	$1,752.22
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 $876.82 / $1,264.21 / $1,800.27	Professional		$876.82	$1,264.21	$1,800.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.77 / $1,460.78 / $3,471.66	Professional		$977.77	$1,460.78	$3,471.66
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 $1,040.38 / $1,085.15 / $1,210.57	Professional		$1,040.38	$1,085.15	$1,210.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,368.88	Professional		$32.34	$32.34	$1,368.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.79 / $1,098.55 / $1,859.67	Professional		$800.79	$1,098.55	$1,859.67