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 $708.79 / $825.34 / $1,460.56	Professional		$708.79	$825.34	$1,460.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,303.59 / $8,751.54 / $15,978.62	Facility		$5,303.59	$8,751.54	$15,978.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $873.68 / $1,100.00	Facility		$659.00	$873.68	$1,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.11 / $1,121.28 / $1,671.68	Professional		$756.11	$1,121.28	$1,671.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $844.01 / $1,304.38 / $3,315.64	Professional		$844.01	$1,304.38	$3,315.64
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 $876.23 / $997.46 / $1,121.29	Professional		$876.23	$997.46	$1,121.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,267.92	Professional		$32.34	$32.34	$1,267.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $6,920.00 / $16,667.00	Facility		$1,520.00	$6,920.00	$16,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.22 / $1,034.17 / $1,764.27	Professional		$764.22	$1,034.17	$1,764.27