Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,549.00	Facility		$755.00	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.44 / $734.89 / $1,305.01	Professional		$637.44	$734.89	$1,305.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,695.32 / $8,055.20 / $16,130.53	Facility		$3,695.32	$8,055.20	$16,130.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.98 / $1,049.49 / $1,309.96	Professional		$875.98	$1,049.49	$1,309.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $908.00	Facility		$400.00	$785.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.73 / $1,027.73 / $1,525.54	Professional		$664.73	$1,027.73	$1,525.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $785.47 / $1,213.90 / $3,696.19	Professional		$785.47	$1,213.90	$3,696.19
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 $814.78 / $928.28 / $1,043.80	Professional		$814.78	$928.28	$1,043.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,180.29	Professional		$32.34	$32.34	$1,180.29
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.31 / $933.42 / $1,598.58	Professional		$683.31	$933.42	$1,598.58