Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,758.00 / $5,580.00	Facility		$923.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.48 / $792.17 / $1,393.65	Professional		$663.48	$792.17	$1,393.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,223.57 / $6,511.40 / $15,336.41	Facility		$3,223.57	$6,511.40	$15,336.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.47 / $1,081.70 / $1,367.87	Professional		$907.47	$1,081.70	$1,367.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $875.00 / $3,279.00	Facility		$579.00	$875.00	$3,279.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.71 / $1,070.23 / $1,580.58	Professional		$722.71	$1,070.23	$1,580.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $810.75 / $1,251.56 / $3,164.93	Professional		$810.75	$1,251.56	$3,164.93
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 $842.10 / $957.07 / $1,075.83	Professional		$842.10	$957.07	$1,075.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,216.51	Professional		$32.34	$32.34	$1,216.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.36 / $975.84 / $1,691.12	Professional		$726.36	$975.84	$1,691.12