Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.60 / $1,020.00 / $4,634.00	Facility		$112.60	$1,020.00	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $168.34 / $658.26	Professional		$72.56	$168.34	$658.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.91 / $998.52 / $1,656.11	Facility		$711.91	$998.52	$1,656.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $266.87 / $568.38	Professional		$96.70	$266.87	$568.38
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 $94.53 / $226.73 / $671.20	Professional		$94.53	$226.73	$671.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $438.03 / $891.02	Professional		$112.23	$438.03	$891.02
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 $98.66 / $104.56 / $457.67	Professional		$98.66	$104.56	$457.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $528.08	Professional		$32.34	$32.34	$528.08
United Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,905.00 / $4,342.00	Facility		$711.00	$1,905.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.92 / $606.45 / $999.38	Professional		$424.92	$606.45	$999.38