Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.40 / $1,694.06 / $5,549.00	Facility		$724.40	$1,694.06	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.84 / $724.40 / $1,240.42	Professional		$608.84	$724.40	$1,240.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,317.26 / $9,165.53 / $16,541.83	Facility		$4,317.26	$9,165.53	$16,541.83
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 $779.69 / $1,048.68 / $1,418.13	Professional		$779.69	$1,048.68	$1,418.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $779.69 / $1,240.42 / $5,565.61	Professional		$779.69	$1,240.42	$5,565.61
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 $860.68 / $921.45 / $1,009.84	Professional		$860.68	$921.45	$1,009.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,165.20	Professional		$32.34	$32.34	$1,165.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.15 / $1,044.41 / $1,775.49	Professional		$717.15	$1,044.41	$1,775.49