Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,835.00 / $5,389.00	Facility		$720.00	$1,835.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.77 / $575.05 / $1,081.53	Professional		$563.77	$575.05	$1,081.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,123.31 / $8,378.92 / $15,798.68	Facility		$4,123.31	$8,378.92	$15,798.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.64 / $1,096.26 / $1,287.99	Professional		$681.64	$1,096.26	$1,287.99
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 $584.21 / $797.86 / $1,142.00	Professional		$584.21	$797.86	$1,142.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.96 / $929.35 / $2,332.55	Professional		$596.96	$929.35	$2,332.55
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 $666.56 / $705.50 / $768.30	Professional		$666.56	$705.50	$768.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $886.50	Professional		$32.34	$32.34	$886.50
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 $592.67 / $817.89 / $1,245.47	Professional		$592.67	$817.89	$1,245.47