Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $5,888.44	Facility		$380.19	$1,862.09	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $724.44	Professional		$245.47	$371.54	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $5,754.40	Facility		$2,691.53	$4,168.69	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $691.83	Professional		$346.74	$478.63	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $758.58	Professional		$295.12	$457.09	$758.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,230.27	Professional		$346.74	$562.34	$1,230.27
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 $338.84 / $371.54 / $549.54	Professional		$338.84	$371.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $758.58	Professional		$281.84	$436.52	$758.58