Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.05 / $2,758.00 / $5,580.00	Facility		$926.05	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.07 / $926.05 / $1,391.48	Professional		$729.07	$926.05	$1,391.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,051.68 / $9,928.21 / $19,355.81	Facility		$5,051.68	$9,928.21	$19,355.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.76 / $1,386.52 / $1,492.40	Professional		$961.76	$1,386.52	$1,492.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.94 / $1,147.80 / $1,677.19	Professional		$821.94	$1,147.80	$1,677.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $848.40 / $1,323.48 / $3,238.05	Professional		$848.40	$1,323.48	$3,238.05
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 $962.75 / $1,002.65 / $1,105.29	Professional		$962.75	$1,002.65	$1,105.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,275.33	Professional		$32.34	$32.34	$1,275.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.88 / $1,086.05 / $1,830.14	Professional		$800.88	$1,086.05	$1,830.14