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 $607.85 / $706.06 / $1,247.61	Professional		$607.85	$706.06	$1,247.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,537.14 / $8,344.29 / $13,669.50	Facility		$4,537.14	$8,344.29	$13,669.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.26 / $967.15 / $1,207.33	Professional		$807.26	$967.15	$1,207.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $825.00 / $1,100.00	Facility		$659.00	$825.00	$1,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.59 / $961.90 / $1,425.59	Professional		$646.59	$961.90	$1,425.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $723.94 / $1,118.82 / $2,850.32	Professional		$723.94	$1,118.82	$2,850.32
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 $754.99 / $855.57 / $961.91	Professional		$754.99	$855.57	$961.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,087.70	Professional		$32.34	$32.34	$1,087.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $6,467.00 / $14,716.00	Facility		$1,602.00	$6,467.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.16 / $891.69 / $1,511.14	Professional		$654.16	$891.69	$1,511.14