Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.90 / $2,118.00 / $5,393.00	Facility		$895.90	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.20 / $895.90 / $1,523.57	Professional		$756.20	$895.90	$1,523.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,607.64 / $20,949.31	Facility		$8,538.45	$11,607.64	$20,949.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.05 / $1,450.59 / $1,763.10	Professional		$1,049.05	$1,450.59	$1,763.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $7,626.43	Facility		$709.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.91 / $1,259.86 / $1,792.06	Professional		$881.91	$1,259.86	$1,792.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $983.39 / $1,436.25 / $3,830.24	Professional		$983.39	$1,436.25	$3,830.24
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 $1,037.19 / $1,091.88 / $1,217.53	Professional		$1,037.19	$1,091.88	$1,217.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,376.74	Professional		$32.34	$32.34	$1,376.74
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 $795.38 / $1,090.00 / $1,821.82	Professional		$795.38	$1,090.00	$1,821.82