Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.36 / $1,842.00 / $5,549.00	Facility		$911.36	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.48 / $911.36 / $1,454.54	Professional		$765.48	$911.36	$1,454.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,033.55 / $8,627.92 / $17,277.40	Facility		$4,033.55	$8,627.92	$17,277.40
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 $809.14 / $1,162.18 / $1,756.42	Professional		$809.14	$1,162.18	$1,756.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $765.41 / $1,245.94 / $3,086.11	Professional		$765.41	$1,245.94	$3,086.11
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 $809.86 / $947.65 / $1,058.45	Professional		$809.86	$947.65	$1,058.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,196.85	Professional		$32.34	$32.34	$1,196.85
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 $813.09 / $1,145.34 / $1,872.95	Professional		$813.09	$1,145.34	$1,872.95