Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $1,972.00 / $5,549.00	Facility		$537.00	$1,972.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.41 / $872.53 / $1,508.73	Professional		$748.41	$872.53	$1,508.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,267.56 / $8,851.24 / $20,590.63	Facility		$4,267.56	$8,851.24	$20,590.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.73 / $1,458.93 / $1,611.35	Professional		$978.73	$1,458.93	$1,611.35
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 $841.65 / $1,120.58 / $1,622.08	Professional		$841.65	$1,120.58	$1,622.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $834.06 / $1,319.10 / $3,490.25	Professional		$834.06	$1,319.10	$3,490.25
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 $925.42 / $985.71 / $1,071.77	Professional		$925.42	$985.71	$1,071.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,236.66	Professional		$32.34	$32.34	$1,236.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.60 / $1,198.79 / $1,752.06	Professional		$816.60	$1,198.79	$1,752.06