Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,731.00 / $5,091.00	Facility		$630.00	$1,731.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $604.59 / $1,092.95	Professional		$500.94	$604.59	$1,092.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,889.58 / $6,481.76 / $14,137.54	Facility		$3,889.58	$6,481.76	$14,137.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.12 / $1,001.30 / $1,218.70	Professional		$724.12	$1,001.30	$1,218.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,894.60 / $4,347.85	Facility		$620.00	$3,894.60	$4,347.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.15 / $872.74 / $1,241.31	Professional		$612.15	$872.74	$1,241.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $686.89 / $1,016.00 / $2,462.94	Professional		$686.89	$1,016.00	$2,462.94
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 $702.18 / $754.74 / $840.42	Professional		$702.18	$754.74	$840.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $950.33	Professional		$32.34	$32.34	$950.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $8,995.00	Facility		$1,600.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.83 / $762.86 / $1,303.79	Professional		$555.83	$762.86	$1,303.79