Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.79 / $1,609.00 / $5,549.00	Facility		$791.79	$1,609.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $791.79 / $1,426.74	Professional		$690.00	$791.79	$1,426.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,843.59 / $10,360.64 / $20,747.18	Facility		$4,843.59	$10,360.64	$20,747.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.75 / $1,305.20 / $1,539.46	Professional		$880.75	$1,305.20	$1,539.46
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 $788.74 / $1,152.58 / $1,670.46	Professional		$788.74	$1,152.58	$1,670.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $852.28 / $1,317.16 / $3,449.43	Professional		$852.28	$1,317.16	$3,449.43
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 $924.04 / $1,007.24 / $1,109.89	Professional		$924.04	$1,007.24	$1,109.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,280.64	Professional		$32.34	$32.34	$1,280.64
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.29 / $1,104.24 / $1,749.60	Professional		$824.29	$1,104.24	$1,749.60