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 $744.72 / $879.77 / $1,579.75	Professional		$744.72	$879.77	$1,579.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $9,914.91 / $21,625.68	Facility		$4,464.57	$9,914.91	$21,625.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,082.77 / $1,497.23 / $1,820.29	Professional		$1,082.77	$1,497.23	$1,820.29
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 $910.51 / $1,300.73 / $1,848.57	Professional		$910.51	$1,300.73	$1,848.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,482.84 / $3,544.10	Professional		$1,015.00	$1,482.84	$3,544.10
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 $1,069.10 / $1,127.31 / $1,256.67	Professional		$1,069.10	$1,127.31	$1,256.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,421.00	Professional		$32.34	$32.34	$1,421.00
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 $824.79 / $1,150.45 / $1,924.58	Professional		$824.79	$1,150.45	$1,924.58