Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.45 / $2,265.00 / $5,405.00	Facility		$755.45	$2,265.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.64 / $1,282.53 / $2,785.08	Professional		$411.64	$1,282.53	$2,785.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,849.81 / $6,804.69 / $11,286.02	Facility		$3,849.81	$6,804.69	$11,286.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $548.79 / $882.96 / $2,843.02	Professional		$548.79	$882.96	$2,843.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $7,366.00 / $8,072.00	Facility		$875.00	$7,366.00	$8,072.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.79 / $1,544.51 / $3,033.34	Professional		$500.79	$1,544.51	$3,033.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $622.13 / $2,189.21 / $5,579.91	Professional		$622.13	$2,189.21	$5,579.91
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 $535.95 / $577.69 / $2,075.44	Professional		$535.95	$577.69	$2,075.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,394.73	Professional		$32.34	$32.34	$2,394.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,865.85 / $2,617.21 / $4,272.34	Professional		$1,865.85	$2,617.21	$4,272.34