Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,731.00 / $5,389.00	Facility		$720.00	$1,731.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.01 / $715.40 / $1,306.85	Professional		$647.01	$715.40	$1,306.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,911.19 / $5,059.93 / $13,850.22	Facility		$2,911.19	$5,059.93	$13,850.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $807.80 / $967.80 / $1,236.70	Professional		$807.80	$967.80	$1,236.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.09 / $1,855.00 / $2,720.17	Facility		$788.09	$1,855.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.48 / $963.74 / $1,478.16	Professional		$665.48	$963.74	$1,478.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.54 / $1,132.83 / $3,066.97	Professional		$741.54	$1,132.83	$3,066.97
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 $827.00 / $876.37 / $962.55	Professional		$827.00	$876.37	$962.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,088.42	Professional		$32.34	$32.34	$1,088.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.07 / $943.77 / $1,557.51	Professional		$670.07	$943.77	$1,557.51