Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.63 / $2,118.00 / $5,405.00	Facility		$795.63	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.99 / $795.63 / $1,340.80	Professional		$705.99	$795.63	$1,340.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,134.57 / $8,071.14 / $18,775.88	Facility		$4,134.57	$8,071.14	$18,775.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.07 / $1,331.24 / $1,469.22	Professional		$893.07	$1,331.24	$1,469.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.41 / $1,023.28 / $1,477.77	Professional		$767.41	$1,023.28	$1,477.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $760.50 / $1,202.29 / $3,027.39	Professional		$760.50	$1,202.29	$3,027.39
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 $846.33 / $898.77 / $977.98	Professional		$846.33	$898.77	$977.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,128.44	Professional		$32.34	$32.34	$1,128.44
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 $742.98 / $1,006.42 / $1,956.26	Professional		$742.98	$1,006.42	$1,956.26