Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.57 / $1,363.00 / $5,389.00	Facility		$606.57	$1,363.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.57 / $639.50 / $1,156.52	Professional		$606.57	$639.50	$1,156.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,436.35 / $8,531.82 / $16,998.09	Facility		$4,436.35	$8,531.82	$16,998.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.62 / $1,175.78 / $1,270.33	Professional		$674.62	$1,175.78	$1,270.33
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 $649.26 / $857.56 / $1,248.54	Professional		$649.26	$857.56	$1,248.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $643.41 / $1,014.19 / $3,335.84	Professional		$643.41	$1,014.19	$3,335.84
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 $706.12 / $760.40 / $824.03	Professional		$706.12	$760.40	$824.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $950.81	Professional		$32.34	$32.34	$950.81
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.65 / $914.20 / $1,372.04	Professional		$632.65	$914.20	$1,372.04