Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.30 / $3,221.00 / $8,089.00	Facility		$1,049.30	$3,221.00	$8,089.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.74 / $1,049.30 / $1,521.47	Professional		$666.74	$1,049.30	$1,521.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,822.53 / $5,753.49 / $7,422.51	Facility		$4,822.53	$5,753.49	$7,422.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.22 / $1,064.22 / $1,456.31	Professional		$1,064.22	$1,064.22	$1,456.31
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 $838.54 / $1,301.99 / $1,716.70	Professional		$838.54	$1,301.99	$1,716.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $777.37 / $1,446.97 / $4,966.72	Professional		$777.37	$1,446.97	$4,966.72
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 $1,083.08 / $1,114.95 / $1,213.58	Professional		$1,083.08	$1,114.95	$1,213.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,951.00 / $12,241.00	Facility		$1,400.00	$5,951.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.51 / $1,069.92 / $1,747.32	Professional		$822.51	$1,069.92	$1,747.32