Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.80 / $1,609.00 / $5,549.00	Facility		$776.80	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.16 / $776.80 / $1,385.02	Professional		$753.16	$776.80	$1,385.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,681.39 / $12,152.72 / $24,335.82	Facility		$5,681.39	$12,152.72	$24,335.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.48 / $1,379.07 / $1,484.51	Professional		$857.48	$1,379.07	$1,484.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.74 / $1,017.41 / $1,463.44	Professional		$727.74	$1,017.41	$1,463.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $751.89 / $1,168.84 / $3,094.98	Professional		$751.89	$1,168.84	$3,094.98
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 $837.85 / $888.60 / $966.51	Professional		$837.85	$888.60	$966.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,115.21	Professional		$32.34	$32.34	$1,115.21
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.54 / $1,003.14 / $1,663.28	Professional		$766.54	$1,003.14	$1,663.28