Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.00 / $1,882.00 / $5,389.00	Facility		$962.00	$1,882.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.96 / $1,053.13 / $1,516.63	Professional		$830.96	$1,053.13	$1,516.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,992.33 / $9,062.71 / $19,766.93	Facility		$4,992.33	$9,062.71	$19,766.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.59 / $1,365.67 / $1,485.78	Professional		$963.59	$1,365.67	$1,485.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.74 / $1,052.64 / $1,591.41	Professional		$766.74	$1,052.64	$1,591.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.08 / $1,258.32 / $3,398.49	Professional		$758.08	$1,258.32	$3,398.49
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 $1,022.39 / $1,023.96 / $1,118.34	Professional		$1,022.39	$1,023.96	$1,118.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,264.59	Professional		$32.34	$32.34	$1,264.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $5,247.00 / $9,441.00	Facility		$1,600.00	$5,247.00	$9,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.67 / $946.30 / $1,615.64	Professional		$687.67	$946.30	$1,615.64