Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.20 / $1,842.00 / $5,389.00	Facility		$645.20	$1,842.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.15 / $645.20 / $1,136.98	Professional		$596.15	$645.20	$1,136.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,445.56 / $8,318.62 / $12,668.00	Facility		$5,445.56	$8,318.62	$12,668.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.66 / $875.30 / $1,094.65	Professional		$732.66	$875.30	$1,094.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.36 / $901.64 / $1,272.33	Professional		$622.36	$901.64	$1,272.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $635.86 / $1,036.03 / $3,228.99	Professional		$635.86	$1,036.03	$3,228.99
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 $748.07 / $792.26 / $870.55	Professional		$748.07	$792.26	$870.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,004.48	Professional		$32.34	$32.34	$1,004.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,951.00 / $6,625.00	Facility		$1,600.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.16 / $850.63 / $1,366.42	Professional		$601.16	$850.63	$1,366.42