Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.98 / $1,843.92 / $5,389.00	Facility		$942.98	$1,843.92	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.98 / $961.58 / $1,769.65	Professional		$942.98	$961.58	$1,769.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,094.16 / $11,359.40 / $26,425.37	Facility		$6,094.16	$11,359.40	$26,425.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.56 / $1,829.51 / $2,154.44	Professional		$1,137.56	$1,829.51	$2,154.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.62 / $1,331.51 / $1,942.41	Professional		$1,007.62	$1,331.51	$1,942.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $998.54 / $1,578.10 / $3,871.89	Professional		$998.54	$1,578.10	$3,871.89
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 $1,105.57 / $1,180.08 / $1,282.20	Professional		$1,105.57	$1,180.08	$1,282.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,479.47	Professional		$32.34	$32.34	$1,479.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.22 / $1,346.73 / $2,103.62	Professional		$976.22	$1,346.73	$2,103.62