Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.00 / $2,989.00 / $7,123.00	Facility		$974.00	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.44 / $700.86 / $1,240.33	Professional		$604.44	$700.86	$1,240.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.66 / $12,443.89 / $17,690.16	Facility		$4,503.66	$12,443.89	$17,690.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.76 / $959.37 / $1,197.59	Professional		$800.76	$959.37	$1,197.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $13,655.29	Facility		$400.00	$785.00	$13,655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.49 / $979.23 / $1,442.50	Professional		$643.49	$979.23	$1,442.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $719.55 / $1,142.44 / $3,299.04	Professional		$719.55	$1,142.44	$3,299.04
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 $747.75 / $848.67 / $954.16	Professional		$747.75	$848.67	$954.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,078.94	Professional		$32.34	$32.34	$1,078.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $6,920.00 / $16,667.00	Facility		$1,400.00	$6,920.00	$16,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.36 / $925.78 / $1,496.70	Professional		$649.36	$925.78	$1,496.70