Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,221.00 / $7,750.40	Facility		$1,000.00	$3,221.00	$7,750.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.32 / $971.45 / $1,930.20	Professional		$775.32	$971.45	$1,930.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,196.13 / $9,947.67 / $19,909.24	Facility		$5,196.13	$9,947.67	$19,909.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.83 / $1,385.33 / $1,570.21	Professional		$1,033.83	$1,385.33	$1,570.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.52 / $1,246.02 / $1,836.50	Professional		$858.52	$1,246.02	$1,836.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $919.82 / $1,426.70 / $4,383.42	Professional		$919.82	$1,426.70	$4,383.42
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 $1,050.73 / $1,087.06 / $1,199.86	Professional		$1,050.73	$1,087.06	$1,199.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,384.47	Professional		$32.34	$32.34	$1,384.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.04 / $1,291.54 / $2,375.59	Professional		$888.04	$1,291.54	$2,375.59