Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $3,073.00 / $6,180.00	Facility		$813.00	$3,073.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.89 / $642.51 / $898.55	Professional		$554.89	$642.51	$898.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,868.99 / $6,687.22 / $14,824.24	Facility		$3,868.99	$6,687.22	$14,824.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.43 / $1,113.43 / $1,113.43	Professional		$1,113.43	$1,113.43	$1,113.43
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 $599.66 / $821.21 / $1,198.50	Professional		$599.66	$821.21	$1,198.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,069.31 / $2,008.77 / $3,252.25	Professional		$1,069.31	$2,008.77	$3,252.25
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 $853.24 / $1,536.12 / $1,762.24	Professional		$853.24	$1,536.12	$1,762.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $789.00 / $1,608.35 / $2,524.21	Professional		$789.00	$1,608.35	$2,524.21