Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.32 / $1,694.00 / $5,091.00	Facility		$803.32	$1,694.00	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.28 / $803.32 / $1,476.97	Professional		$673.28	$803.32	$1,476.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,295.45 / $8,410.25 / $18,343.83	Facility		$4,295.45	$8,410.25	$18,343.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.92 / $1,304.70 / $1,492.07	Professional		$1,006.92	$1,304.70	$1,492.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.03 / $1,157.36 / $1,696.00	Professional		$786.03	$1,157.36	$1,696.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $911.97 / $1,334.14 / $3,212.27	Professional		$911.97	$1,334.14	$3,212.27
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 $936.29 / $1,014.26 / $1,129.09	Professional		$936.29	$1,014.26	$1,129.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,276.75	Professional		$32.34	$32.34	$1,276.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,803.00 / $8,821.00	Facility		$1,787.00	$4,803.00	$8,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.55 / $1,028.68 / $1,760.15	Professional		$751.55	$1,028.68	$1,760.15