Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,270.00 / $13,495.66	Facility		$1,017.00	$3,270.00	$13,495.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.90 / $731.44 / $1,267.31	Professional		$649.90	$731.44	$1,267.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,505.01 / $9,154.58 / $17,261.20	Facility		$4,505.01	$9,154.58	$17,261.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.12 / $1,225.48 / $1,353.45	Professional		$822.12	$1,225.48	$1,353.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,923.00	Facility		$1,855.00	$1,855.00	$1,923.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.57 / $934.90 / $1,362.27	Professional		$700.57	$934.90	$1,362.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $700.57 / $1,089.06 / $3,196.73	Professional		$700.57	$1,089.06	$3,196.73
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 $777.75 / $827.94 / $900.28	Professional		$777.75	$827.94	$900.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,038.78	Professional		$32.34	$32.34	$1,038.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,612.00 / $15,310.71	Facility		$1,602.00	$7,612.00	$15,310.71
United Facility/Professional Professional Modifier Low / Median / High Price $701.53 / $1,004.29 / $1,609.16	Professional		$701.53	$1,004.29	$1,609.16