Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $2,118.00 / $5,405.00	Facility		$755.00	$2,118.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.71 / $775.10 / $1,497.31	Professional		$726.71	$775.10	$1,497.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.73 / $8,013.54 / $18,641.89	Facility		$3,887.73	$8,013.54	$18,641.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.50 / $1,168.64 / $1,746.87	Professional		$837.50	$1,168.64	$1,746.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $863.49 / $1,360.27 / $3,504.26	Professional		$863.49	$1,360.27	$3,504.26
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 $985.37 / $1,020.49 / $1,125.35	Professional		$985.37	$1,020.49	$1,125.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,298.49	Professional		$32.34	$32.34	$1,298.49
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $833.85 / $1,103.35 / $2,094.85	Professional		$833.85	$1,103.35	$2,094.85