Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.00 / $2,226.30 / $5,091.00	Facility		$923.00	$2,226.30	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.04 / $1,192.67 / $2,226.30	Professional		$997.04	$1,192.67	$2,226.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,687.00 / $12,486.61 / $27,234.88	Facility		$2,687.00	$12,486.61	$27,234.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $1,799.73 / $2,009.18	Facility		$620.00	$1,799.73	$2,009.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.09 / $1,734.45 / $2,480.86	Professional		$1,178.09	$1,734.45	$2,480.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.58 / $1,993.72 / $5,326.15	Professional		$1,350.58	$1,993.72	$5,326.15
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 $1,368.77 / $1,503.19 / $1,672.15	Professional		$1,368.77	$1,503.19	$1,672.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,890.82	Professional		$32.34	$32.34	$1,890.82
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 $1,116.36 / $1,670.31 / $2,650.93	Professional		$1,116.36	$1,670.31	$2,650.93