Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.72 / $1,842.00 / $5,549.00	Facility		$953.72	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.15 / $953.72 / $1,521.43	Professional		$801.15	$953.72	$1,521.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,221.07 / $9,029.04 / $18,080.65	Facility		$4,221.07	$9,029.04	$18,080.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.12 / $1,132.24 / $1,323.25	Professional		$946.12	$1,132.24	$1,323.25
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 $847.65 / $1,195.38 / $1,775.06	Professional		$847.65	$1,195.38	$1,775.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $805.13 / $1,305.26 / $3,647.70	Professional		$805.13	$1,305.26	$3,647.70
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 $848.86 / $992.75 / $1,109.04	Professional		$848.86	$992.75	$1,109.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,254.07	Professional		$32.34	$32.34	$1,254.07
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 $849.96 / $1,157.08 / $1,958.92	Professional		$849.96	$1,157.08	$1,958.92