Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.16 / $1,842.00 / $9,691.00	Facility		$941.16	$1,842.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $941.16 / $1,620.63	Professional		$727.70	$941.16	$1,620.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,134.12 / $10,982.08 / $21,991.61	Facility		$5,134.12	$10,982.08	$21,991.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,001.76 / $1,444.19 / $1,527.95	Professional		$1,001.76	$1,444.19	$1,527.95
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 $876.50 / $1,226.38 / $1,757.29	Professional		$876.50	$1,226.38	$1,757.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $868.60 / $1,381.87 / $3,835.67	Professional		$868.60	$1,381.87	$3,835.67
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 $896.71 / $1,026.53 / $1,151.27	Professional		$896.71	$1,026.53	$1,151.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,328.39	Professional		$32.34	$32.34	$1,328.39
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $857.32 / $1,218.27 / $1,963.83	Professional		$857.32	$1,218.27	$1,963.83