Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,157.00 / $5,549.00	Facility		$755.00	$2,157.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $531.17 / $1,016.02	Professional		$468.54	$531.17	$1,016.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,620.26 / $9,829.73 / $13,850.99	Facility		$5,620.26	$9,829.73	$13,850.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.65 / $925.97 / $1,127.19	Professional		$669.65	$925.97	$1,127.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $6,831.39 / $10,111.00	Facility		$709.00	$6,831.39	$10,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.75 / $805.47 / $1,161.17	Professional		$542.75	$805.47	$1,161.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $629.69 / $939.72 / $3,884.57	Professional		$629.69	$939.72	$3,884.57
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 $648.41 / $698.07 / $777.19	Professional		$648.41	$698.07	$777.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $878.82	Professional		$32.34	$32.34	$878.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.38 / $707.04 / $1,208.23	Professional		$514.38	$707.04	$1,208.23