Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.03 / $1,972.00 / $5,393.00	Facility		$932.03	$1,972.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.03 / $952.86 / $1,749.43	Professional		$932.03	$952.86	$1,749.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,816.71 / $14,581.20 / $29,198.85	Facility		$6,816.71	$14,581.20	$29,198.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.25 / $1,809.72 / $1,949.48	Professional		$1,125.25	$1,809.72	$1,949.48
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 $996.37 / $1,317.11 / $1,890.03	Professional		$996.37	$1,317.11	$1,890.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $987.39 / $1,544.26 / $4,377.16	Professional		$987.39	$1,544.26	$4,377.16
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 $1,094.91 / $1,166.92 / $1,268.32	Professional		$1,094.91	$1,166.92	$1,268.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,463.45	Professional		$32.34	$32.34	$1,463.45
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $982.69 / $1,385.88 / $2,423.09	Professional		$982.69	$1,385.88	$2,423.09