Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.87 / $2,118.00 / $5,405.00	Facility		$993.87	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.70 / $993.87 / $1,530.43	Professional		$782.70	$993.87	$1,530.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,101.27 / $8,929.78 / $20,773.34	Facility		$4,101.27	$8,929.78	$20,773.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.20 / $1,229.90 / $1,792.10	Professional		$826.20	$1,229.90	$1,792.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $909.99 / $1,406.34 / $4,194.25	Professional		$909.99	$1,406.34	$4,194.25
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 $1,029.69 / $1,075.44 / $1,184.34	Professional		$1,029.69	$1,075.44	$1,184.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,366.56	Professional		$32.34	$32.34	$1,366.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,391.00 / $8,566.00	Facility		$1,600.00	$4,391.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.54 / $1,255.10 / $1,971.37	Professional		$845.54	$1,255.10	$1,971.37