Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.83 / $1,365.83 / $4,634.00	Facility		$677.83	$1,365.83	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.06 / $760.87 / $1,606.86	Professional		$360.06	$760.87	$1,606.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,549.12 / $4,462.43 / $7,370.06	Facility		$1,549.12	$4,462.43	$7,370.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.45 / $646.16 / $1,524.77	Professional		$633.45	$646.16	$1,524.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.66 / $914.00 / $1,424.95	Facility		$619.66	$914.00	$1,424.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.91 / $845.21 / $3,404.44	Professional		$404.91	$845.21	$3,404.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $493.74 / $1,229.25 / $7,548.28	Professional		$493.74	$1,229.25	$7,548.28
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 $450.32 / $458.47 / $1,164.55	Professional		$450.32	$458.47	$1,164.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,316.84	Professional		$32.34	$32.34	$1,316.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $949.39 / $1,984.06 / $4,509.09	Professional		$949.39	$1,984.06	$4,509.09