Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.58 / $2,784.00 / $7,123.00	Facility		$950.58	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.58 / $970.99 / $1,786.72	Professional		$950.58	$970.99	$1,786.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,952.39 / $14,871.44 / $29,780.05	Facility		$6,952.39	$14,871.44	$29,780.05
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 $1,012.45 / $1,352.12 / $1,956.67	Professional		$1,012.45	$1,352.12	$1,956.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.72 / $1,592.72 / $3,906.30	Professional		$1,007.72	$1,592.72	$3,906.30
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 $1,115.17 / $1,190.94 / $1,294.08	Professional		$1,115.17	$1,190.94	$1,294.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,493.18	Professional		$32.34	$32.34	$1,493.18
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 $1,003.62 / $1,417.43 / $2,123.21	Professional		$1,003.62	$1,417.43	$2,123.21