Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,609.00 / $5,430.00	Facility		$755.00	$1,609.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.53 / $661.33 / $1,190.38	Professional		$532.53	$661.33	$1,190.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $6,923.72 / $15,101.52	Facility		$2,687.00	$6,923.72	$15,101.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,281.10 / $2,546.58	Facility		$875.00	$2,281.10	$2,546.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.64 / $941.70 / $1,272.46	Professional		$598.64	$941.70	$1,272.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $697.94 / $1,080.52 / $2,991.00	Professional		$697.94	$1,080.52	$2,991.00
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 $733.03 / $824.84 / $926.86	Professional		$733.03	$824.84	$926.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,048.07	Professional		$32.34	$32.34	$1,048.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.02 / $824.03 / $1,423.60	Professional		$596.02	$824.03	$1,423.60