Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,440.00 / $5,150.00	Facility		$1,300.00	$2,440.00	$5,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,300.00 / $1,765.00	Professional		$1,080.00	$1,300.00	$1,765.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,642.73 / $4,717.84 / $20,675.62	Facility		$2,642.73	$4,717.84	$20,675.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.14 / $2,394.17 / $3,222.94	Professional		$124.14	$2,394.17	$3,222.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $721.56 / $1,811.32 / $2,019.75	Facility		$721.56	$1,811.32	$2,019.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.32 / $929.80 / $1,225.96	Professional		$534.32	$929.80	$1,225.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,956.77 / $2,881.79 / $6,644.02	Professional		$1,956.77	$2,881.79	$6,644.02
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 $2,312.54 / $2,418.59 / $2,585.60	Professional		$2,312.54	$2,418.59	$2,585.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $129.87 / $1,649.82	Professional		$32.34	$129.87	$1,649.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,411.14 / $3,312.67 / $5,677.00	Professional		$2,411.14	$3,312.67	$5,677.00