Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,265.80 / $10,000.00	Facility		$1,148.15	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $2,818.38	Professional		$851.14	$1,071.52	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $15,848.93	Facility		$4,265.80	$8,511.38	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,096.48 / $1,621.81	Professional		$371.54	$1,096.48	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $831.76 / $5,623.41	Facility		$660.69	$831.76	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $2,041.74	Professional		$758.58	$1,202.26	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $6,309.57	Professional		$977.24	$1,698.24	$6,309.57
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 $1,096.48 / $1,174.90 / $1,288.25	Professional		$1,096.48	$1,174.90	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $12,302.69	Facility		$1,905.46	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,949.84	Professional		$870.96	$1,148.15	$1,949.84