Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,784.00 / $7,123.00	Facility		$825.00	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.67 / $809.93 / $1,572.12	Professional		$697.67	$809.93	$1,572.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,898.80 / $10,478.71 / $20,983.63	Facility		$4,898.80	$10,478.71	$20,983.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.29 / $1,315.65 / $1,552.56	Professional		$978.29	$1,315.65	$1,552.56
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 $766.31 / $1,161.81 / $1,679.87	Professional		$766.31	$1,161.81	$1,679.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $859.53 / $1,328.36 / $3,640.02	Professional		$859.53	$1,328.36	$3,640.02
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 $932.17 / $1,015.81 / $1,118.78	Professional		$932.17	$1,015.81	$1,118.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,290.90	Professional		$32.34	$32.34	$1,290.90
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 $833.31 / $1,184.99 / $1,855.52	Professional		$833.31	$1,184.99	$1,855.52