Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.99 / $3,231.46 / $7,500.00	Facility		$163.99	$3,231.46	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $1,532.57 / $2,709.95	Professional		$82.56	$1,532.57	$2,709.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $853.67 / $2,571.94 / $7,960.77	Facility		$853.67	$2,571.94	$7,960.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.66 / $450.90 / $4,492.26	Professional		$112.66	$450.90	$4,492.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $875.00 / $3,911.70	Facility		$148.97	$875.00	$3,911.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $340.98 / $3,845.83	Professional		$89.53	$340.98	$3,845.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $2,985.07 / $8,332.41	Professional		$122.50	$2,985.07	$8,332.41
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 $98.25 / $113.75 / $2,771.85	Professional		$98.25	$113.75	$2,771.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,134.32	Professional		$32.34	$32.34	$3,134.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,241.00	Facility		$2,100.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,818.74 / $2,824.33 / $4,618.37	Professional		$1,818.74	$2,824.33	$4,618.37