Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.78 / $2,745.27 / $5,580.00	Facility		$861.78	$2,745.27	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $861.78 / $1,513.87	Professional		$634.70	$861.78	$1,513.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,180.89 / $11,082.16 / $22,192.02	Facility		$5,180.89	$11,082.16	$22,192.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,046.90 / $1,371.92 / $1,520.56	Professional		$1,046.90	$1,371.92	$1,520.56
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 $828.12 / $1,261.77 / $1,767.23	Professional		$828.12	$1,261.77	$1,767.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $905.50 / $1,407.70 / $3,945.71	Professional		$905.50	$1,407.70	$3,945.71
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 $915.01 / $1,070.13 / $1,215.03	Professional		$915.01	$1,070.13	$1,215.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,401.96	Professional		$32.34	$32.34	$1,401.96
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 $824.65 / $1,128.94 / $1,895.28	Professional		$824.65	$1,128.94	$1,895.28