Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,118.00 / $5,393.00	Facility		$923.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.17 / $938.51 / $1,611.02	Professional		$773.17	$938.51	$1,611.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $10,061.56 / $21,945.53	Facility		$4,464.57	$10,061.56	$21,945.53
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 $897.75 / $1,293.21 / $1,853.16	Professional		$897.75	$1,293.21	$1,853.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $979.70 / $1,502.27 / $3,125.76	Professional		$979.70	$1,502.27	$3,125.76
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 $1,086.44 / $1,142.08 / $1,273.60	Professional		$1,086.44	$1,142.08	$1,273.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,440.16	Professional		$32.34	$32.34	$1,440.16
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 $809.68 / $1,144.82 / $1,927.24	Professional		$809.68	$1,144.82	$1,927.24