Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.00 / $2,660.00 / $5,580.00	Facility		$813.00	$2,660.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.89 / $538.01 / $985.86	Professional		$473.89	$538.01	$985.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,291.12 / $7,039.84 / $14,097.27	Facility		$3,291.12	$7,039.84	$14,097.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.10 / $894.45 / $1,066.19	Professional		$665.10	$894.45	$1,066.19
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 $530.30 / $789.86 / $1,143.97	Professional		$530.30	$789.86	$1,143.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $590.26 / $920.03 / $2,292.69	Professional		$590.26	$920.03	$2,292.69
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 $663.21 / $697.58 / $760.60	Professional		$663.21	$697.58	$760.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $877.62	Professional		$32.34	$32.34	$877.62
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 $552.26 / $788.07 / $1,192.22	Professional		$552.26	$788.07	$1,192.22