Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.44 / $2,784.00 / $7,123.00	Facility		$907.44	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.44 / $907.44 / $1,652.08	Professional		$791.44	$907.44	$1,652.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,551.05 / $11,873.92 / $23,777.52	Facility		$5,551.05	$11,873.92	$23,777.52
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 $944.60 / $1,322.45 / $1,814.35	Professional		$944.60	$1,322.45	$1,814.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $978.42 / $1,517.67 / $4,951.47	Professional		$978.42	$1,517.67	$4,951.47
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 $1,057.26 / $1,156.31 / $1,273.47	Professional		$1,057.26	$1,156.31	$1,273.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,469.39	Professional		$32.34	$32.34	$1,469.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.96 / $1,400.47 / $2,325.44	Professional		$921.96	$1,400.47	$2,325.44